NURS FPX 4000

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Student Name

Capella University

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Health Promotion Plan

Hello, my name is ________, and I am a community nurse. I am delighted to have you all here for today’s session. As we all come together for a Health Promotion Plan presentation, let me introduce the topic: Human Papillomavirus (HPV), a sexually transmitted disease. 

Introduction to HPV

HPV is a group of viruses that infect skin and mucous membranes. There are two hundred different types of identified HPV, but forty of them are sexually transmitted. These forty types can affect the genital area, mouth, and throat. HPV is the most common sexually transmitted disease, and it has affected almost all sexually active people at some point in their lives (Soheili et al., 2021). HPV occurs in people with multiple partners, polygamous relationships, men having intercourse with men, unprotected intercourse, and mildly due to drug addiction. There are some interesting facts about HPV. It can happen to any sexually active individual, but not all people need to know that they are infected by HPV (El-Zein et al., 2019).

The person getting infected would not know about it until it develops warts in a genital area or causes cancer. It can take years or decades for HPV to surface as a known disease to individuals being infected. Usually, it goes away without being noticed. However, the World Health Organization (WHO) says that the risky types of this virus can cause serious health issues (WHO, 2023). For this reason, it is essential to learn about its prevalence and impact on individuals. 

Prevalence of HPV

The United States faced 42 million HPV-infected people in 2018, and every year, 13 million people acquire new infections, according to CDC estimates (HPV, 2023). The prevalence of HPV differs at many points, for instance, age, gender, HPV type, socio-economic state, and even geographically as well. The most sexually active age is from teens to adolescent age. Studies have shown that the age range of 15-25 chance of being infected is highest, and this age group usually acquires 75% of new HPV types (Clarke et al., 2021). There is also prevalence differentiation in genders, as females are more infected with HPV than men.

The Centers for Disease Prevention and Control (CDC) states that 21 thousand women and 15 thousand men each year get infected with HPV of some kind; around four thousand women die (HPV, 2023). Different types of HPV are acquired by males and females in different ratios; for instance, cervical cancer is high among females, but throat cancer by HPV is higher among males. The World Health Organization (WHO) states that cervical cancer is the fourth most deadly cancer type, and it brought 342,000 deaths in the year 2020 (WHO, 2023). The prevalence rate of oral HPV is 5.0% in men and 3.6% in women (Yu et al., 2023). Socioeconomically, middle and low-income households have more HPV than high-income individuals. Lastly, geographically, the southern and Midwest parts are more infected with HPV than the Northern part of the USA (Hirth et al., 2019). 

Impact of HPV

The impact of HPV on human health is beyond its prevalence. It can cause cervical cancer and genital warts. Cervical cancer cases are primarily due to high-risk HPV (Kombe et al., 2021). Further, HPV can cause various cancers like cancers of the vagina, vulva, penis, anus, mouth, and throat. It can go beyond and impact mental health and social life. Vaccinations can help prevent the prevalence of HPV-caused cancers (Luttjeboer. J. et al., 2023). It is essential to develop strategic measures to reduce its impact on people and plan best practices to improve health. Physically, it causes the fourth deadly cancer and other types of cancers mentioned above. It also has the mental, social, and financial aspects of an individual (Luttjeboer. J. et al., 2023).

The psychological impact of HPV-diagnosed cancer cannot be underestimated because it can cause anxiety, fear, and guilt in an individual who is diagnosed with a sexually transmitted disease. The stigma around sexually transmitted diseases can cause stress, depression, isolation, and feelings of shame in a person, making it challenging to fight cancer-like diseases (Chadwick et al., 2022). This psychological impact needs to be addressed through educational and therapy sessions.

The disease diagnosed can cause strained relationships between patient and family, relatives, or other social groups. The unacceptability in society can cause a lack of support to treat HPV-caused cancers (Chadwick et al., 2022). The health cost of treating cancer can also be burdening for patients and can be challenging if they are socially isolated. Screening, vaccinations, medications, and other diagnostic procedure costs can be daunting for the patient (Chesson et al., 2021). So, they must be guided through insurance policies, awareness programs, and cost-free community services.

Evidence-Based Health Promotion Plan

Considering HPV prevalence and impact, nurses must contribute their skills to promote awareness about preventive measures. Collaboration between patients and nurses can help overcome doubts and treat cancer effectively. Educational strategies promote awareness in patients and help them break myths related to deadly diseases like cancer (Rodríguez et al., 2019). Pamphlets, educational workshops, and online sessions can increase HPV literacy, and education about regular screening and vaccinations can prevent HPV-caused cancer completely.

As the peak age for acquiring infection is 15-25, schools must be educated about safe intercourse practices and promote vaccination doses in young students. Community-based services are essential to make health services available, especially to young audiences (Pathak et al., 2022). These services include counseling to parents and the young generation about safe intercourse and the benefit of regular screening and timely vaccination. Community-based clinics that provide free screening and vaccinations to needy people can prevent HPV-caused cancers (Bastani et al., 2021). 

SMART Goals of Health Promotion Plan

To prevent HPV, healthcare providers and nurses can assist students and adolescents in developing goals and their implementation. In healthcare, the essence of effective service delivery is that healthcare workers must assist patients in setting up SMART goals. SMART is a framework to devise goals that are Specific, Measurable, Achievable, Relevant, and time-bound (Bailey, 2019). Developing goals based on the SMART framework helps healthcare workers assess patients’ progress, empowering patients and healthcare workers with effective strategy implementation.

The SMART framework provides clarity to healthcare workers, patients, policymakers, and other stakeholders to align their efforts toward a unified action plan (Bailey, 2019). For HPV, SMART goals help with practical objective setting, strategic implementation, structured feedback, and concentrated efforts toward HPV treatment. It helps assess the effectiveness of an awareness campaign, the progress of a vaccination drive, and screenings (Njuguna et al., 2021). Considering the utility of the SMART framework, its inclusion is essential in HPV disease management programs, patient counseling, and policy-making is useful. 

The following SMART goals are devised to help Maria counter the financial, physical, emotional, and social challenges that she is facing due to her HPV diagnosis. The aim is to suggest activities to help patients stay on track with disease management (Bailey, 2019).

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation  

  1. Reduce Maria’s financial expenses by up to 60% in the next six months through awareness of insurance policies that can provide financial assistance for medical treatment. This would lessen her financial burden and would ease the recovery journey.  
  2. Educate Maria about HPV through six workshops in three months, and break all myths related to the disease by conducting and attending workshops in-person and online. A virtual option is included to make the goal more achievable for her.
  3. Help Maria connect with support groups to counter social stigma and related challenges. This would help her connect with similar people and eliminate the fear of solitude, resulting in an optimistic attitude towards the treatment. 
  4. Improve Maria’s emotional well-being through weekly periodic therapy sessions for three months. Through these sessions, she would be able to coexist with the HPV without it hampering her mental state.

Educational Outcomes of SMART Goals

Evaluation of educational sessions will help analyze the impact of the health promotion plan and its impact on Maria’s quality of life. The evaluation helps in understanding Maria’s achievement of an agreed-upon wellness program. By understanding the feedback from the participants, valuable insights can be gathered, which helps evaluate the strengths and weaknesses of the educational sessions (Santos P.D. et al., 2022). This further helps in highlighting areas that require enhancement by improving education sessions. It will assist in quality improvement and meet the needs of the society. 

  • Maria attended three to six educational sessions, both in-person and online, to enhance her understanding of HPV. The assessments after these workshops indicate increased knowledge and reduce Maria’s doubts. Maria has comprehensive knowledge at the end of educational workshops, busted myths, and concerns. It fostered informed decision-making in Maria as she dealt with emotional, social, and financial challenges.
  • The educational sessions helped her enroll in community programs and community-based clinics; they helped reduce her financial burden over six months. She was able to achieve enough knowledge about available financial options. 

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

  • Maria joined an online support group as part of the SMART goal plan, which helped her engage with people having similar challenges in managing disease. Maria overcame fear and developed a sense of belonging instead of being socially isolated, improving her emotional well-being. 
  • Therapy sessions were conducted to improve her emotional health, and these sessions helped Maria practice coping mechanisms to deal with stress and depression. Maria developed emotional resilience, positively enhancing her mental and emotional health successfully. It improved Maria’s overall quality of life. 

The educational session has shown areas of improvement. A culture-sensitive approach with tailored messaging and multilingual educational material can improve the educational sessions. Learning module updates and evaluation mechanisms using quizzes, polls, and discussions are also required. Lastly, expanding educational material from community resources to primary health care is essential in improving health outcomes (Santos P.D. et al., 2022). 

Healthy People 2030 Objectives and Leading Health Indicators

The health plan for Maria was in alignment with the objectives of Healthy People 2030. The goals for HPV by 2030 are to vaccinate 90% of 15-year-old girls, cervical screening of 70% of women in the age group 35-45, and treatment of 90% of diagnoses of HPV-related cases (Vorsters et al., 2022). Health Goal 2030 emphasizes preventive measures, high health literacy, and the impact of social and emotional support on patients (U.S. Department of Health and Human Services, 2023). Following health objectives, 2030 is the designed health promotion plan for Maria’s HPV-caused cervical cancer.

Firstly, the objective of Healthy People 2030 is to prevent disease prevalence, and Maria’s health plan targets the prevention and management of HPV, which is a high-risk indicator of cervical cancer. Then, the health plan improved accessibility to financial options, free-of-cost medical services like vaccination and screenings, and online community groups to improve overall well-being (Kakotkin et al., 2023). Similarly, the plan aligns with leading health indicators to support patients with mental and emotional support; Maria’s counseling and therapy sessions aimed to improve her emotional and mental health.

Next, equality is a significant health indicator; Maria belonged to the minority group Latina, so culturally sensitive and tailored interventions helped to reduce health inequities for minority group members (Sundaram et al., 2019). Participating in group activities and engaging socially is encouraged so patients may not feel isolated and suffer alone (Sundaram et al., 2019). So, Healthy People 2030 objective to participate in community-based support groups aligns with Maria’s online group participation with similar members. Lastly, mental health services support Maria’s health and achieve established goals. 

Health Policies to Achieve Established Goals

Patient Protection and Affordable Care ACT (ACA) policy supports preventive measures with cost-sharing health services. This policy encourages equity by eliminating disparities and developing opportunities to access health services cost-effectively (Raymond et al., 2021). This policy has addressed critical aspects of Maria’s case through several provisions that target accessibility, coverage, and non-discrimination. Medicaid services support middle- and low-income individuals in gaining financial facilities. The eligibility for Medicaid services enables access to vaccination and screenings affordably.

ACA supports preventive health services without burdening individuals, so counseling, therapy, online community groups, and educational workshops helped achieve the goals of holistic health benefits: physical, mental, and emotional (Raymond et al., 2021). ACA’s community-based health improvement funding helped in acquiring services free of cost. Maria improved social engagement due to community support exercises and activities. ACA encourages the elimination of health disparity, so it invests in research that can find health disparity in society and address those issues with strategic policy and intervention. It has assisted in developing evidence-based plans to reduce health disparity issues for Maria and promote awareness and access to preventive measures (Raymond et al., 2021). 

Future Changes in Educational Sessions

A few more suggestions should be considered to improve educational sessions in the future to align them with Healthy People 2030 objectives. The diversified approach to educational sessions can improve health outcomes. Tailored messages suitable to different cultures can help increase awareness of HPV preventive measures better (Wong et al., 2020). The educational sessions can be expanded to a massive audience in schools, colleges, and universities through online workshops and digital libraries for long-term educational support (Olusanya et al., 2021). These online sessions and online counseling can help with awareness and accessibility objectives.

Improvement in learning modules can also improve educational sessions significantly; incorporating quizzes to evaluate understanding, polls, and discussion sessions to address questions and concerns must be considered. The resources utilized should be multilingual, so the language barrier is never an issue preventing understanding HPV preventive measures.

Further, educational means should extend from community resources to healthcare settings with the assistance of primary care professionals. Primary care providers can help hand out pamphlets or verbally educate about HPV or sexual education (Leung et al., 2019). Educational sessions can benefit from peer support input about successful HPV preventive experiences. Evaluation is essential to see what aspect of an educational session positively impacts participants’ feedback, and health outcomes can help evaluate educational programs and improve lacking areas (Santos. P.D. et al., 2022). Lastly, integrate influencers to deliver messages about HPV prevalence, impact, and preventive measures for increasing other HPV-associated cancers (Lewis et al., 2021). Influencer participation through in-person or social media can strongly impact the audience as credibility strengthens with leading entities participating in educational sessions.  

Conclusion

It is concluding this session with the hope that it was productive and knowledgeable for you all. Summarizing our takeaway from today’s topic is that HPV is a prevalent sexually transmitted disease infected in the younger age group of 15-25 and diagnosed at any time in life. Different types of cancer are caused by high-risk HPV, affecting the overall life quality of the patient. It impacts the patient’s physical, mental, emotional, and social life due to social pressure and ignorance. Health promotion plan develops strategies to manage HPV-caused cancer and utilize preventive measures using vaccination, regular screening, and awareness of safe sexual measures. The plan ultimately aligns with the Healthy People 2030 goals’ objective. It proves that educational workshops and counseling have a positive impact on the prevention and management of HPV-caused health issues.  

References

Bailey, R. (2019). Goal setting and action planning for health behavior change. American journal of lifestyle medicine13(6), 615–618. NCBI. https://doi.org/10.1177/1559827617729634 

Bastani, R., Glenn, B. A., Singhal, R., Crespi, C. M., Nonzee, N. J., Tsui, J., Chang, L. C., Herrmann, A. K., & Taylor, V. M. (2021). Increasing HPV vaccination among low-income, ethnic minority adolescents: Effects of a multicomponent system intervention through a county health department hotline. Cancer epidemiology biomarkers & prevention31(1), 175–182. https://doi.org/10.1158/1055-9965.epi-20-1578 

Chadwick, V., Bennett, K. F., McCaffery, K. J., Brotherton, J. M. L., & Dodd, R. H. (2022). Psychosocial impact of testing human papillomavirus positive in Australia’s human papillomavirus‐based cervical screening program: A cross‐sectional survey. Psycho-Oncology31(7), 1110–1119. https://doi.org/10.1002/pon.5897 

Chesson, H. W., Laprise, J.-F., Brisson, M., Martin, D., Ekwueme, D. U., & Markowitz, L. E. (2021). The estimated lifetime medical cost of diseases attributable to human papillomavirus infections acquired in 2018. Sexually transmitted diseasespublish ahead of printhttps://doi.org/10.1097/olq.0000000000001379 

Clarke, M. A., Risley, C., Stewart, M. W., Geisinger, K. R., Hiser, L. M., Morgan, J. C., Owens, K. J., Ayyalasomayajula, K., Rives, R. M., Jannela, A., Grunes, D. E., Zhang, L., Schiffman, M., Wagner, S., Boland, J., Bass, S., & Wentzensen, N. (2021). Age‐specific prevalence of human papillomavirus and abnormal cytology at baseline in a diverse statewide prospective cohort of individuals undergoing cervical cancer screening in Mississippi. Cancer medicine10(23), 8641–8650. https://doi.org/10.1002/cam4.4340 

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

El-Zein, M., Coutlée, F., Tellier, P.-P., Roger, M., Franco, E. L., & Burchell, A. N. (2019). Human papillomavirus infection and transmission among couples through heterosexual activity (hitch) cohort study: Protocol describing design, methods, and research goals. JMIR research protocols8(1), e11284. https://doi.org/10.2196/11284 

Finley, C., Dugan, M. J., Carney, J., Davis, W., Delaney, T., Hart, V., Holmes, B., Stein, G. S., Katrick, R., Morehouse, H., Cole, B. F., Bradford, L., Boardman, M. B., Considine, H., Kaplan, N. C., Plumpton, M., Schadler, L. S., Smith, J. J., & McAllister, K. (2021). A peer-based strategy to overcome HPV vaccination inequities in rural communities: A physical distancing-compliant approach. Critical reviews in eukaryotic gene expression31(1), 61–69. https://doi.org/10.1615/critreveukaryotgeneexpr.2021036945 

Hirth, J. M., Kuo, Y.-F., Starkey, J. M., Rupp, R. E., Laz, T. H., Rahman, M., & Berenson, A. B. (2019). Regional variations in human papillomavirus prevalence across time in NHANES (2003–2014). Vaccine37(30), 4040–4046. https://doi.org/10.1016/j.vaccine.2019.06.001 

HPV (2023, March). Https://Www.nfid.org/. https://www.nfid.org/infectious-disease/hpv/ 

Kakotkin, V. V., Semina, E. V., Zadorkina, T. G., & Agapov, M. A. (2023). Prevention strategies and early diagnosis of cervical cancer: Current state and prospects. Diagnostics13(4), 610. https://doi.org/10.3390/diagnostics13040610 

Kombe, A. J., Li, B., Zahid, A., Mengist, H. M., Bounda, G.-A., Zhou, Y., & Jin, T. (2021). Epidemiology and burden of human papillomavirus and related diseases, molecular pathogenesis, and vaccine evaluation. Frontiers in public health8(552028). https://doi.org/10.3389/fpubh.2020.552028 

Leung, S. O. A., Akinwunmi, B., Elias, K. M., & Feldman, S. (2019). Educating healthcare providers to increase Human Papillomavirus (HPV) vaccination rates: A qualitative systematic review. Vaccine: X3, 100037. https://doi.org/10.1016/j.jvacx.2019.100037 

Lewis, R. M., Laprise, J.-F., Gargano, J. W., Unger, E. R., Querec, T. D., Chesson, H., Brisson, M., & Markowitz, L. E. (2021). Estimated prevalence and incidence of disease-associated HPV types among 15-59-year-olds in the United States. Sexually transmitted diseasespublish ahead of printhttps://doi.org/10.1097/olq.0000000000001356 

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Luttjeboer. J.,  Joost J.M. Simons, Westra, T. A., Wilschut, J., Boersma, C., Postma, M. J., & van. (2023). An updated analysis of the impact of HPV vaccination based on long-term effectiveness in the Netherlands. Infectious diseases and therapy12(8), 2135–2145. https://doi.org/10.1007/s40121-023-00851-9 

Njuguna, D. W., Mahrouseh, N., Isowamwen, O. V., & Varga, O. (2021). Knowledge, attitude and practice of main stakeholders towards human papilloma virus infection and vaccination in Mombasa and Tana-River counties in Kenya: A Qualitative Study. Vaccines9(10), 1099. https://doi.org/10.3390/vaccines9101099 

Olusanya, O. A., Ammar, N., Davis, R. L., Bednarczyk, R. A., & Shaban-Nejad, A. (2021). A digital personal health library for enabling precision health promotion to prevent human papillomavirus-associated cancers. Frontiers in digital health3https://doi.org/10.3389/fdgth.2021.683161 

Pathak, P., Pajai, S., & Kesharwani, H. (2022). A review on the use of the HPV vaccine in the prevention of cervical cancer. Cureus14(9). https://doi.org/10.7759/cureus.28710 

Raymond, S., Li, L., Taioli, E., Nash, D., & Liu, B. (2021). The effect of the Affordable Care Act dependent coverage provision on HPV vaccine uptake in young adult women, National Health and Nutrition Examination Survey 2007–2016. Preventive medicine148, 106536. https://doi.org/10.1016/j.ypmed.2021.106536 

Rodríguez, L., Barrios, M., Pachón, C., & Lugo, E. (2019). Educational intervention on human papillomavirus in university students. Indian journal of community medicine44(3), 213. https://doi.org/10.4103/ijcm.ijcm_247_18 

Santos, P. D., Melly, P., Hilfiker, R., Giacomino, K., Perruchoud, E., Verloo, H., & Pereira, F. (2022). Effectiveness of educational interventions to increase skills in evidence-based practice among nurses: the editcare systematic review. Healthcare (Basel, Switzerland)10(11), 2204. https://doi.org/10.3390/healthcare10112204 

Soheili, M., Keyvani, H., Soheili, M., & Nasseri, S. (2021). Human papillomavirus: A review study of epidemiology, carcinogenesis, diagnostic methods, and treatment of all HPV-related cancers. Medical Journal of the Islamic Republic of Iranhttps://doi.org/10.47176/mjiri.35.65 

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Sundaram, N., Voo, T. C., & Tam, C. C. (2019). Adolescent HPV vaccination: Empowerment, equity and ethics. Human vaccines & immunotherapeutics16(8), 1835–1840. https://doi.org/10.1080/21645515.2019.1697596 

U.S. Department of Health and Human Services. (2023). Healthy People 2030. Healthy People 2030; Office of Disease Prevention and Health Promotion. https://health.gov/healthypeople 

Vorsters, A., Bosch, F. X., Poljak, M., Waheed, D.-N., Stanley, M., & Garland, S. M. (2022). HPV prevention and control – The way forward. Preventive medicine156, 106960. https://doi.org/10.1016/j.ypmed.2022.106960 

WHO. (2023, November 17). Cervical cancer. Www.who.int. https://www.who.int/news-room/fact-sheets/detail/cervical-cancer?gclid=CjwKCAiAvoqsBhB9EiwA9XTWGdbxgQ9rHkCP6dK8X7W0N6Dy3cwmiRPwz2ZDHLJEjJc2DiWn_7-BDhoCZjwQAvD_BwE 

Wong, L. P., Wong, P.-F., Megat Hashim, M. M. A. A., Han, L., Lin, Y., Hu, Z., Zhao, Q., & Zimet, G. D. (2020). Multidimensional social and cultural norms influencing HPV vaccine hesitancy in Asia. Human vaccines & immunotherapeutics16(7), 1611–1622. https://doi.org/10.1080/21645515.2020.1756670 

Yu, S., Zhu, Y., He, H., Hu, Y., Zhu, X., Diao, W., Li, S., Shan, G., & Chen, X. (2023). Prevalence and risk factors of oral human papillomavirus infection among 4212 healthy adults in Hebei, China. BMC infectious diseases23(1), 773. https://doi.org/10.1186/s12879-023-08759-y 


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