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Responses to Peers:Identify any obstacles that mig

Responses to Peers:Identify any obstacles that might be encountered while implementing the interventions to achieve the National Viral Hepatitis Action Plan goal suggested by your peers.Describe how one (1) of the obstacles might be prevented or overcome.In your responses to your peers’ posts you must provide constructive and insightful comments that go beyond that of agree or disagree.peer’s post as follow: Viral hepatitis is a systemic, viral infection in which necrosis and inflammation of liver cells produce a characteristic cluster of clinical , biochemical, and cellular changes (Hinkle & Cheever, 2018).A goal of the National Viral Hepatitis Action Plan is to prevent new viral infections.Intervention #1: Test all pregnant women for HBV and refer those who are positive to the CDC’s Perinatal Hepatitis B Program (HHS, 2017).  This program identifies positive Hep B women and also prevents the transmission of Hep B by ensuring women receive the prophylactic treatment needed at birth.  Nurses, especially nurses in ob/gyn offices, should encourage/promote all patients to be tested.Intervention #2:  Develop collaborations with programs serving women of childbearing age, families and individuals at risk to promote education about the preventive benefits of vaccinations, encourage vaccination, and/or provide vaccination (HHS, 2017).  Hep B and Hep A should be a routine vaccine for children. Adults should understand these diseases can be prevented with a vaccine.Intervention #3:  Provide regular training for healthcare providers on effective infection control practices in health care settings (HHS, 2017).  Some healthcare providers need reminding that infection control needs to be practiced everyday, all the time. This can stop the spread of the infection. The provider can also pass the training on to the patients and stop the spread of infection even further.According to the CDC, Hepatitis E is usually a self limiting, acute illness.  It is uncommon in the United States. The most common source is fecally contaminated drinking water.  In developed countries the disease occurs by consumption of uncooked or under cooked pork or deer meat.  Symptoms of Hepatitis E include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, jaundice, dark urine, clay colored stool and joint pain.  Most people with Hepatitis E recover completely. People are advised to get rest, adequate nutrition and fluids, avoid alcohol and avoid meds that can damage their liver (CDC, 2018). ReferencesHinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing(14th ed.). Philadelphia, PA: Wolters Kluwer Health.

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