1-The Topics/Objectif that kept my attention in Healthy People 2020 is: “Mental health and mental disorders”.  Depression is a serious disorder that affects the lives of many American and for the most part these people go undiagnosed.  For the few that are actually diagnosed, less than half of them actually receive adequate treatment.  In a study conducted through survey by the medical expenditure Panel for the Unites Stated, of the 46,417 responses received, approximately 8.4% screened positive for depression, of which only one-half received treatment and only half of that actually were positive screened by clinicians. (Olfson et al., 2016).   This prove that there is treatment gaps in healthcare, since pharmacological management of depression (antidepressant) are at its highest use.  These gaps are directly related to income, neighborhood/ communities,, education and insurance. This also raises concern about how we are treating depression. Manifestation of depression can vary from mild to severe and the researchers have concluded that there are no standards to modifying treatment on case by case terms, and the use and promotion of integrated care models might help make depression management more effective.

Olfso, m., Blanco, C., & Marcus, S. C.(2016). Treatment of adult depression in the United Stated.  

2-As psychiatric nurse working with communities, I will put more emphasis   on the importance   on mental health issues, will encourage  the individuals in the community regardless of their income, education level,  insurance to look for help when feeling depressed.

3-Evethough, we learned about disaster preparedness, I was very surprised to find out it is one of the Topics/ Objectives of Healthy People 2020. Preparedness is  defined by FEMA ( Federal  Emergency Management  Agency ) as  a constant  cycle of planning , evaluating  in an effort to ensure  adequate response in case of disasters.  Disaster can be natural, acts of terrorism.

Part 2

1-It is important to educated patients, family/ caregiver about the importance of wearing Medical identification Bracelet.  The Medical Identification Bracelet should include; their names, Medical condition, Food/Drug allergies, Emergency contact. It was unfortunate that Eloisa did not have a Medical Identification Bracelet. First responders (EMT), medical personal are trained to first look for Medical Identification upon assessing a patient.

 2-Most people usually wear a Medical Identification Bracelet whereas others opt for a print out (in the form of a credit card) in their wallet.

3-Electronic health Records provides accurate, complete information about patients. It enables fast access to patient’s record for more coordinate care. It is also helps improving communication among providers.