NR 305 Week 1 Discussion

NR 305 Week 1 Discussion Healthy People Initiative (graded) The topic this week asks you to apply what you have learned to the following case study. As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide, answer the following questions. What additional information would you like to gather from Maria? What are Maria's real and potential health risks? Why is Maria's culture important when obtaining the health assessment? Pick one of Maria's health risks. What would be one reasonable short-term goal for this risk? What nursing interventions would you incorporate into Maria's plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.. Respond Topic responses Discussion Questions Search Collapse All More Sort By:      Instructor Cork Instructor Cork 10/13/2016 8:32:38 PM RE: Class begins Mon, Oct 24th Modified: 10/19/2016 5:54 PM Class - You may begin posting in this TD on Sunday, October 23th, 2016 for credit. Class officially begins Monday, October 24th. Thank you. Missy ReplyShow Less Lilian Galaviz Lilian Galavizreply to Instructor Cork 10/23/2016 1:53:08 PM RE: Class begins Mon, Oct 24th Hello, I'm really excited to begin this new class. I just wanted to let you know I posted my first answer twice, given that I posted the first one before the 23rd so I wasn't sure if I would get credit or not. Thank you! ReplyShow Less Instructor Cork Instructor Corkreply to Lilian Galaviz 10/24/2016 10:26:24 AM RE: Class begins Mon, Oct 24th Thank you, Lilian. I appreciate that. I will certainly accept the early posts for week one due to my error. :) Missy ReplyShow Less Instructor Cork Instructor Cork 10/13/2016 8:34:29 PM Additional questions for Week 1 As you respond to this scenario on Maria, you may also want to consider the following questions as you develop responses throughout the week: a) Look at the Healthy People 2020 areas of concern. Which of these factors are of greatest concern to your community? b) What is your definition of wellness? Compare it to the WHO definition. How does it compare with other definitions of wellness? c) What are some of the established tools that can be used to assess health risks and lifestyle? Which one do you find most helpful? Thank you! Missy ReplyShow Less Dorothy Cochran Dorothy Cochranreply to Instructor Cork 10/30/2016 8:18:51 PM QuestionRE: Additional questions for Week 1 Hello Professor and Class, I believe that the greatest Healthy People 2020 concern in my community is substance abuse. I personally know a handful of people who have died of overdoses and several more that have been personally affected by such deaths. Recently a task force has been formed in my community with a goal of decreasing distribution of and increasing education on recent batches of heroin that are laced with fentanyl. The number of associated deaths have been devastating. My definition of wellness, which I thought was different than most, is optimal quality of life in the presence of disease. This would include remaining free of or managing symptoms as best as possible for as long as possible. My definition is highly defined by my experience with multiple auto-immune diseases. The WHO definition of health and wellness is much the same. Culture and society also influence how health is perceived. People who live in poverty may well think that illness, disease, and debility are a regular part of life, along with mot having access to health care. There are many tools that are useful is assessing health and life style risks. The BMI scale is useful for measuring obesity. Obesity has a very long list of related health conditions. At work we use the BRADEN scale to assess risk of skin break down, the resulting score determines how we monitor the patients skin and what interventions may be necessary. Personally, I use an app to track my fitness, weight, and nutrition to promote a healthier lifestyle and to hopefully prevent associated obesity risks. Dottie Cochran References Jarvis, C. (2016) Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier U.S. Department of Health and Human Services (2014). Healthy People 2020. Retrieved from: ReplyShow Less Shiara Kaye Peart Shiara Kaye Peart 10/18/2016 1:39:10 PM Healthy People Initiative Hi Prof and Class, Additional information I would try and gather from Maria would be her eating habits. First, I would want to know how much and when does she eat her meals? This will help me determine what nutritional suggestions I can offer her. Second, what activities/exercises has she tried ever since she noticed she had gained weight? If Maria has not done any type of exercises/diet to help reduce her weight, then this will help me identify an appropriate activity/diet for her. And lastly, with the consideration of her cultural background, gathering information about her support system at home. This will help me determine if Maria will need additional support to help push her to lose and maintain her ideal weight. With Maria’s lifestyle and eating habits the way it is, Maria is definitely at risk for conditions such a heart disease, HTN, and diabetes as stated in Healthy People 2020. Living a healthy lifestyle will help promote and reduce the risk of acquiring many of these conditions. In continuation, in helping Maria reach her goal, her cultural background must also be considered prior to because her culture may think that being 14pounds overweight is completely normal while we think different here in America. With Maria being at a high risk for HTN, a short term I have for would be to demonstrate change in eating pattern within a week of starting the weight loss program. Nursing interventions I would incorporate into her plan of care would include the following: 1. Identify her desire to lose weight- Motivation can affect her weight loss program. She must want to lose weight or otherwise the program will not succeed. 2. Encourage Maria to keep a daily food diary including when, what, and how much she ate- This will help Maria focus on factors that she can control and change. And 3. Instruct and assist Maria in appropriate food selections especially avoiding foods that are high in saturated fat- Avoiding saturated fat will help reduce the risk of developing HTN. Jarvis, C. (2016). Physical examination & health assessment (7th ed.) Philadelphia, PA: Saunders. Nutrition and Weight Status. Healthy People 2020. Retrieved from Jakulj, F., Zernicke, K., Bacon, s., van Wielingen, L., Key, B., West, S., and Campell, T. (2007). A High-Fat Meal Increases Cardiovascular Reactivity to Psychological Stress in Healthy Young Adults. The Journal of Nutrition. 137(4) 935-939. Kaye ReplyShow Less Instructor Cork Instructor Corkreply to Shiara Kaye Peart 10/24/2016 10:29:14 AM RE: Healthy People Initiative Shiara - you shared some very good points as far as Maria's plan of care. Evaluating Maria's desire to make changes will be necessary. She must make the decision and then the decision can be supported and encouraged. Missy ReplyShow Less Cailee Christman Cailee Christmanreply to Shiara Kaye Peart 10/26/2016 9:17:40 PM RE: Healthy People Initiative Shiara, Great post! I could not agree more with your discussion this week in its entirety. You really did a great job pinpointing the barriers within the Hispanic culture as a whole and provided excellent POC examples. I look forward to reading you future posts :) ReplyShow Less Karen Eyler Karen Eylerreply to Shiara Kaye Peart 10/27/2016 9:49:54 AM RE: Healthy People Initiative Dear Kaye, I agree with your suggestions, especially assessing her support system. It sounds as though Maria takes on a lot and doesn't have much help at home. Being able to delegate some of her daily tasks would be helpful in alleviating her responsibilities, if she has someone that can help. It may also be that she is just an over-achiever who feels like she needs to do all of this on her own. In the Hispanic culture the women take on more of the mothering, care taking role and the men are more the provider and financial supporter. In this day in age, with women in the workforce, and Maria wanting to further her education to also become a financial