solved The Response Posts will be to two peers (min 250

The Response Posts will be to two peers (min 250 words) who are not in your alphabetical group, and from two different alphabetical categories.  The response posts should focus on any aspect of the nursing process (Assessment, Planning, Intervention, and Evaluation) that relates to the initial post. The response posts may also use the textbook, but must include a peer-reviewed, current (within the last 5 years) NURSING journal article for each response post.  The NURSING journal articles should support the cited nursing interventions. (Two different articles are required.)
Post 1
Pre-exposure prophylaxis, also known as (PrEP) is medication that people at risk for getting HIV take to prevent them from getting HIV. People at risk for contracting HIV would be those who have had anal or vaginal sex in the last 6 months, those with a sexual partner who has HIV, those who don’t use a condom on a consistent basis, contracted an STI in the past 6 months, and it is also recommended for IV drug users. According to the Center for disease control (CDC) and prevention (2021), there are two medications approved for using as PrEP, they are Truvada and Descovy. Truvada and Descovy are both in the medication class nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs). These medications work by interfering with the virus’s ability to multiply and reproduce. NRTIs prevent the virus’s reverse transcriptase from copying its RNA into DNA, which would allow it to replicate into the CD4 cells. The CDC stated that PrEP is only effective when taken as prescribed and that it reduces the risk of getting HIV from sex about 99%. The stigmatization of persons who use PrEP among the homosexual, bisexual, and transgender communities is a constant challenge. McCance & Huether (2019) Stated that in 2014 44,073 people were diagnosed with HIV and that gay or bisexual men represented 67% of that group and made up 83% of the newly diagnosed men. The Human Rights campaign (n.d.) stated that HIV disproportionately impacts parts of the LGBTQ community, discrimination towards them makes them particularly vulnerable to HIV, and that HIV prevention, treatment, and research programs are substantially underfunded. LGBTQ bias discourages people from getting tested or treated for HIV, which leads to people being undiagnosed and spreading HIV. PrEP medication is also very expensive if you do not have insurance or insurance does not cover it for you, so that alone discourages vulnerable populations from accessing proper treatment. I believe that as nurses, it is our job to educate patients and partners about HIV, along with providing support and resources to make sure they have access to any resources they may need to prevent the spread of HIV or begin treatment for HIV.
References:
Centers for Disease Control and Prevention. (2021, April 21). About PrEP | PrEP | HIV Basics |HIV/AIDS https://www.cdc.gov/hiv/basics/prep/about-prep.htm…
HIV and the LGBTQ Community. (n.d.). HRC. Retrieved July 6, 2021, from https://www.hrc.org/resources/hrc-issue-brief-hiv-…
McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier.
Yoder, K. (2020, April 25). About Nucleoside/Nucleotide Reverse Transcriptase Inhibitors (NRTIs). Healthline. https://www.healthline.com/health/hiv-aids/nucleos… 
Post 2
Immunosuppressed clients are more at risk for many illnesses, including cancer. A person who is immunosuppressed has increased difficulty in fighting illnesses and diseases. These people are much more susceptible to become ill quicker than a person who is not immunocompromised. Some of the causes of a weakened immune system can be physical, malnutrition, medications, comorbidities, viral infections, and toxins. People who are considered immunosuppressed are those that have cancer and are on chemotherapy, steroid use, those who deprive the body of adequate sleep and nutritious foods, those who may already be experiencing illness (cold/flu), and any comorbidities such as diabetes, hypertension, HIV/AIDS, tuberculosis, any organ illnesses such as renal or liver failure, cardiac anomalies, hormones, transplant recipients, people with lower levels of white blood cells, smokers, alcoholics, and those that may have inherited a gene abnormality that would cause the immune system to not function the way it should. Stress is often overlooked as one cause of change in our cells, which can lead to cancer. Stress is not only physical, but it is also psychological and disrupts homeostasis (McCance, 2019). Environmental factors from a place of employment can cause cancer such as fire fighters. Proper equipment needs to be worn every time a fire is encountered to prevent the inhalation of smoke as much as possible. Screenings for lung cancer should ideally be implanted for them since they are at higher risk for cancer. There are some lifestyle changes that can help prevent or lessen the risk for cancer and other diseases and illnesses. These changes include finding ways to reduce stress, taking extra precautions when in public, such as wearing a mask, washing hands, and drinking beverages only from a sealed bottle. Some illnesses may prohibit some from eating at restaurants, and may include no fresh fruit, no live plants, no animals, and eliminating exposure to toxins such as smoke.
McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children. (8th ed.). Elsevier. 
So you will have an ideal on what they are discussing…
E-La: Why are immunosuppressed clients at greater risk for cancer?
Le-P: How does PrEP (pre-exposure prevention) medication stop the spread of HIV from infected persons to non-infected persons? Discuss the stigmatization of persons who use PrEP among the homosexual, bisexual, and transgender communities. What is nursing’s role, if any, in addressing this perception?