Advocacy Actions for StudentsThe children and young people under T.D.’s care face challenges, including abuse, neglect, pregnancy, as well as alcohol and drug abuse. She can consider several effective strategies to address the issues and ensure the children receive optimal care. There is a need for advocacy involving research, lobbying, and education to advance the issues and facilitate systemic, lasting change. She could look for non-profit organizations with the capacity to push for the improvements. On the lack of breakfast problem, T.D. could seek the assistance of the officials like the governor and other elected people to support programs that avail breakfast to students. She could also organize for seminars and campaigns for policy change to improve child protection and rights.                                     Personal Experience on Moral DistressMoral distress occurs when health care providers encounter a situation that conflicts with the correct ethical action and expected task. The emotional state arises when the policies and procedures prevent people from pursuing what they feel is right, presenting a moral dilemma (Giannetta et al., 2020).  I have experienced a number of situations that affected my medical decisions. For instance, once a family was authorized to make a decision for a patient about inserting a feeding tube. However, my supervisor, who was versed with the clinical knowledge of the likely results, had a different view. The two mutually exclusive options were ethically justifiable, but neither had the ultimate or best outcome. Inserting the feeding tube would have prolonged the patient’s life, but it would have familial, social, and financial costs. An alternative would have reduced the patient’s life span and made the family angry and abandoned, which was undesirable. The experience was eye-opening since it expanded my perspective on the familial, financial, and social repercussions of such an action.Relation of Health Promotion to MoralityIn health promotion, there is a component of moral concerns in every intervention that aims at influencing behavior. The targeted behavior involves intimate aspects of individuals’ lives, culture, relationships, and social values (Brown et al., 2019). Besides, health promotion is perceived as a practice or normative ideal. The latter aspect is triggered when it comes to the equity of social arrangements, which is important to improve conditions for everyone regardless of their risk levels. The concept addresses the ethical questions of what makes an ideal society and what health strategies are needed to create such a society. Health promotion involves a wide range of ethical or moral evaluations influenced by the vision of a good society and understanding of its objectives.                                       My Communication Strengths and Weaknesses     My communication strength is being a good listener. I also use non-verbal communication like maintaining eye contact, using gestures, tone variation, and body language to emphasize a point. I am always friendly, open-minded, respectful, precise, and empathetic. My main weakness in communication is avoiding prolonged conversation if the patient assumes hard behavior. I usually find it challenging to hold a conversation when a patient wants to hear something different, especially in case of bad news or the conflict of interest. A therapy session or setting implies providing care over a limited, short time. Thus, it can be difficult to establish and sustain a good relationship. Similarly, regardless of the reason for terminating the therapy, the process can be complicated. Yet, a long trusting relationship between a patient and therapist is crucial in completing treatment. Furthermore, issues in the relationship require better handling of the termination. It can be particularly challenging in a situation when a physician is worried about patient’s safety if they end the relationship. The physicians want to be close to the patient for monitoring and personalized care.

                                                           ReferencesBrown, R. C., Maslen, H., & Savulescu, J. (2019). Against moral responsibilities of health:

       Prudential responsibility and health promotion. Public Health Ethics, 12(2), 114-

       129. 

Giannetta, N., Villa, G., Pennestrì, F., Sala, R., Mordacci, R., & Manara, D. F. (2020).

        Instruments to assess moral distress among healthcare workers: A systematic

        review of measurement properties. International Journal of Nursing Studies,

       111, 103767. https://doi.org/10.1016/j.ijnurstu.2020.103767