EPSLO 5: Apply principles of leadership to advocate for the unique role of the nursing profession within the healthcare system.

In your Journal summarize personal and professional achievements and accomplishments that you have completed throughout the baccalaureate nursing program at EC that refer to EPSLO 5: Apply principles of leadership to advocate for the unique role of the nursing profession within the healthcare system.

Attach a minimum of at least two examples of your work that supports EPSLO 5 noted above. Save your Journal entry as your Self-Appraisal for each module in your word document. The professor will request that you submit your journal entries for informal feedback at the end of each module. A Title page of this assignment with a summary of accomplishments (no more than 2 pages in length) is required with attached files as supportive evidence for each EPSLO. A minimum of one or two examples is required to support each EPSLO.

November 2, 2019

The Honorable Rafael Salamanca Jr.

1070 Southern Boulevard
Bronx, NY 10459

As you probably know, based on the Community Health Profiles in New York City for the year 2018, “In the Bronx, three-quarters of the neighborhoods had a higher five-year average (2011-2015) rate of premature mortality and lower average life expectancy in 2015 compared with citywide averages. Compared with other neighborhoods in the Bronx, Belmont and East Tremont had limited access to healthy food with only one supermarket to 37 bodegas in 2016”. The results of the lack of healthy foods, adequate exercise and pooer air quality in comparison to the rest of the city has resulted in an “… adult obesity rate is 42%, which is higher than the rest of NYC which is at 24%in the combined areas of Melrose and Mott Haven. In addition, in these combined areas the rate of diabetes is 20% in comparision to NYC at 11% and has a rate of hypertension at 38% in comparison to the city’s 28% (Community Health Profiles/Bronx District 1, 2018). One additional parameter which can and should be highlighted that I am sure you are familiar with are the effects of the current “Opioid Epidemic” or Crisis.

As a nursing professional working in the South Bronx, I am a daily witness to the horrors of the Opioid Epidemic. Over the years I have learned that the South Bronx has a long history with heroin addiction with the current epidemic is a continuation of a phenomenon that presents a significant problem in this community. According to a Capstone report compiled by Gonzalez Millan, Lee, Ohlrich and Sarnoff (2018), in the year 2017, there were 298 overdose fatalities involving heroin and/or fentanyl in the Bronx, which is the highest across all five boroughs. This number is very similar for the rate in New York City as a whole. According to NYC Health (2019), in the 1st quarter of 2019, there were 331 overdose deaths in New York City with an estimated death rate of 1 person dying from and overdose every 7 hours. In the South Bronx, high poverty rates, lack of access to services, and the lack of proper education on appropriate treatment models about the matter contribute to Opioid Epidemic in this community (Gonzalez Millan, et al., 2018).

Gonzalez Millan, et al. (2018) make notes that currently, the educational system in New York City while requiring health education classes that include education on HIV/AIDS, it does not have a required module for mental health and drug abuse education for students. As a nurse being trained in health promotion and health prevention methods, the lack of providing an education for children and youth in schools on the dangers of drugs and the role of mental health in human society is a missed opportunity for the possibility of improving current and future outcomes for members in this community.

Rose Sarfo

Government Affairs/Advocacy

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC 20024-2188

To Whom it May Concern;

My name is Rose Sarfo. I am currently a Registered Nurse attending Excelsior College studying to obtain a Bachelor’s in Science of Nursing. I am writing you today with my concerns regarding the issue of substance abuse during pregnancy. I practice nursing full-time in the state of New York.

I am writing you to gain your support for a change in policy. Although I do not agree with the position that drug abuse during pregnancy should be deemed a criminal act that should be prosecuted with mothers put in prison, something stronger is needed other than treatment. Currently, in NYS children are removed from their parents’ custody for neglect and abuse along with endangerment of a child etc. However, drug use it is not specified. What is used as primia facto evidence is the psychological state of the parent, i.e. substantial impairment of judgment, disorientation, incompetence, substantial manifestation of irrationality etc. (The Bronx Health Link and National Advocates for Pregnant Women, 2010). Mind you, these are laws that are in place once the child is born. However, there are no strong legal requirements for women who abuse drugs while pregnant to avert these behaviors. I am suggesting mandatory testing for pregnant women when there is suspicion of substance abuse. This should be followed by mandatory classes and counseling.

According to the National Institutes of Health (NIH) (2020), based on the results of a survey conducted in 2016, “…19.5 million females (or 15.4 percent) ages 18 or older have used illicit* drugs in the past year”. The importance of this number is that women get pregnant and have children. Women make up approximately 50% or more of the nation’s population and according to Forrnay (2016) also make up 40% of those with a lifetime drug use disorder and 26% of those who meet criteria for both an alcohol and drug use disorder during the prior 12 months to becoming pregnant. Cocaine, marijuana, opioids are just some of the substances that women use when pregnant (Forrnay, 2016).

As Obstetricians and Gynecologists you know of the dangers for infants born from mothers who have abused drugs even they are prescribed. To be concise, if a mother smokes (tobacco, marijuana etc,) drinks coffee or alcohol using crystal meth etc. so does the fetus (Web MD, 2020). The consequences of abusing both legal and illicit drugs are serious. Changes in brain structure leading to permanent damage to the brain, behavioral problems due to deficits in memory and attention span, respiratory problems, heart defects, premature delivery, and low birth weight are some of the manage problems caused by the inappropriate use i