Case 2
C.B. is a student nurse practitioner completing her practicum in an office practice She assists the community with blood pressure and immunization clinics. The primary roles in this setting are education and health prevention.
C.B. has completed a population assessment and determined that the community is lacking in organized physical activities. The community that she is working in has a diverse age group between 56 and 87 years of age, with the majority of the residents being between 70 and 74 years of age. The members of the community are active in the health screenings and clinics and enjoy including the nursing staff in their activities.
Which are the recommendations according to the Centers for Disease Control and Prevention for older adults regarding type, quantity and quality of exercise per week?
- Define and describe the primary goals of screening.
- Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?
- Identify potential barriers to patient teaching and how you would address these barriers.
Link to book
https://www.chegg.com/reader/9780323416740/181/
Interventions for Health Promotion
Student’s Name
Institutional Affiliations
Interventions for Health Promotion
Practicum experiences do not only enable student nurses to gain practical knowledge but also allow them to take part in improving their organizations and community. For example, student nurse practitioners who engage with the community are able to identify factors that might be preventing residents from attaining optimum quality of life (World Health Organization, n.d.). The purpose of this assignment is to describe the importance of screening a community including how a student nurse practitioner can facilitate the process and address possible barriers.
The Primary Goals of Screening
Healthcare professionals usually engage in community health screening in order to identify unrecognized factors that might contribute to disease risk to allow the creation of policies and strategies to encourage disease prevention and early treatment. In the current scenario, the primary goal of screening is community screening is to identify gaps in physical activity participation by locating the types, quality, and quantity of exercise that the community engages in per week (Centers for Disease Control and Prevention, 2022). Besides, through community screening, the nurse practitioner will be able to relate the community’s health problems with the lack of physical activities (Lundin et al., 2017). The nurse practitioner will utilize the data to influence policy and health promotion interventions.
The community that nurse C.B. is working with comprises aging residents who need to engage in age-appropriate physical activities to reduce the risk of chronic infections. The Centers for Disease Control and Preventions (CDC) has outlined recommendations for older adults regarding the type, quality, and quantity of exercise that they should engage in per week (Centers for Disease Control and Prevention, 2022). According to the CDC, older adults aged 65 years and above should engage in at least 150 minutes of exercise per week. When distributed throughout the week, they should have 30 minutes of exercise every day for 5 days in a week. This frequency is appropriate for those who engage in moderate types of exercises such as brisk walking. Alternatively, older adults who are taking part in vigorous to intense types of exercises such as running, jogging, or hiking should have at least 75 minutes of exercise per week. The quality of these exercises depends on their abilities to address the bodily needs of older adults considering their advanced age. To ensure exercise quality, the CDC recommends muscle-strengthening activities for at least 2 days per week and exercises that improve balance such as standing on one foot to be taken for at least 3 days a week (Centers for Disease Control and Prevention, 2022). Since the community has a diverse age group between 56 and 87 years of age, with the majority of the residents being between 70 and 74 years of age, it should have adequate facilities that will allow older adults to engage in physical activities to meet the CDC recommendations.
Relationship Between Economics and Nutrition
Poverty might prevent the community residents from eating healthy and it is the responsibility of the nurse practitioners to offer advice on how they can eat healthy on a budget. Economic is related to nutrition in that it can either enable or prevent residents from acquiring healthy and nutritious foods (Anderson et al., 2021). High-income earners will have access to healthy and nutritious foods which the poor cannot access. The nurse practitioner can advise people of low socioeconomic status to eat healthy on a budget by helping them to develop a budget that includes healthy and nutritious foods that they can easily afford (Anderson et al., 2021). For patients whose financial restraints limit their access to food, the nurse practitioner can work with community leaders to enroll them in food programs.
Potential Barriers to Patient Teaching and How to Address Them
The nurse practitioner should identify potential barriers that might hinder effective health promotion. Potential barriers to patient teaching include language barrier, possible resistance from patients, and the lack of teaching resources (Sacca et al., 2022). To address these barriers, the nurse practitioner should use a translator where necessary and use simple language, educate patients about the importance of the teaching program, and work with relevant stakeholders in the community to acquire teaching resources.
References
Anderson, E., Wei, R., Liu, B., Plummer, R., Kelahan, H., Tamez, M., Marrero, A., Bhupathiraju, S. & Mattei, J. (2021). Improving healthy food choices in low-income settings in the United States using behavioral economic-based adaptations to choice architecture. Frontiers in Nutrition, 8, 734991. doi: 10.3389/fnut.2021.734991
Centers for Disease Control and Prevention. (2022). Physical activity: How much physical activity do older adults need? https://www.cdc.gov/physicalactivity/basics/older_adults/index.htm#:~:text=Adults%20aged%2065%20and%20older,of%20activities%20that%20strengthen%20muscles.
Lundin, T., Mölsted, H., & Timm, L. (2017). Community screening in disadvantaged areas: Addressing a gap in the detection of type 2 diabetes: Tanya Lundin, European Journal of Public Health, 27(3), ckx189.235, https://doi.org/10.1093/eurpub/ckx189.235.
Sacca, L., Shegog, R., Hernandez, B., Peskin, M., Rushing, S. C., Jessen, C., Lane, T., & Markham, C. (2022). Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review. Implementation Science: IS, 17(1), 18. https://doi.org/10.1186/s13012-022-01190-y
World Health Organization. (n.d.). A framework for community health nursing education. file:///C:/Users/Admin/Downloads/B4816.pdf