Healthy People Initiative

• CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
• CO3 Utilize effective communication when performing a health assessment. (PO 3)

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 (Links to an external site.)Links to an external site. and your text as a guide, answer the following questions.

1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Why is Maria’s culture important when obtaining the health assessment?
4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
5. 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.

When formulating your posts, remember the Course Outcomes (CO’s.  I am looking at your communication skills when discussing potential and actual problems with Maria.  Each of you brings a wealth of knowledge with you to the course.  Use your knowledge and experience to formulate your plan for her.  Also be sure to expand your knowledge by utilizing professional research.  

Reading/ references

Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.

• Chapter 1: Evidenced-Based Assessment
• Chapter 2: Cultural Competence: Cultural Care
• Chapter 4: The Complete Health History

Required website

Familiarize yourself with the Healthy People 2020 (Links to an external site.)Links to an external site. website that will be referenced throughout the course.

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Healthy Relationships in the Workplace

Healthy relationships form the basis for a positive workplace. When staff are engaged in their jobs, supported by one another, and feel a sense of security in their work, healthy relationships among staff members will flourish. Nurse managers can assess the workplace for healthy relationships by observing the interactions among staff members. Are trust, respect, and collegiality evident, or might some staff members display toxic or dysfunctional behaviors toward one another? When toxic or dysfunctional behaviors are evident even among the smallest cohort of staff, nurse managers must take steps to foster positive interactions. In fact, all other efforts to establish a positive workplace will likely fall short if they are not built on the foundation of healthy interpersonal relationships.

In this Discussion, you examine the interactions between employees at your current organization or one with which you are familiar. You also explore positive psychology, a theory of well-being that has helped many workplaces to increase positivity and foster healthy relationships among staff members.

To prepare

• Review Chapter 2, “Cultivating the Leadership Relationship” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Examine how leaders cultivate healthy relationships among all staff members.
• Review the article, “Using Positive Psychology to Engage Your Staff during Difficult Times.” How can positive psychology foster healthy workplace relationships and increase staff engagement?
• Reflect on the interactions you see in your own organization or in one with which you are familiar. What relationships do you observe across different job categories, such as RNs, LPNs, techs, and nursing assistants? Do relationship disparities exist between shifts, departments, or members of different disciplines, such as nursing staff and physicians?
• Identify environments where unhealthy relationships most commonly occur. What leadership strategies might you use to build healthy relationships among these specific staff members? Furthermore, how could you apply positive psychology to increase positivity in this environment?

Post an explanation of at least two leadership strategies you could implement to build healthy relationships among staff members in the workplace you selected. Cite specific examples in your explanation by identifying the staff members you would target and explaining how your strategies would foster healthy interactions among these staff members. In addition, suggest at least one positive psychology strategy you could employ to increase the ratio of positive to negative interactions in your workplace; explain your rationale.

Required Readings

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.
Chapter 14, “Workplace Safety, Health, and Security” (pp. 526–558)The authors analyze the many factors that contribute to and affect workplace safety. They provide techniques for stress management and how to handle violence in the workplace.

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.

Chapter 1, “Leadership: An Elusive Concept” (pp. 1–30)Chapter 1 provides a thoughtful comparison between the functions of management and leadership. It highlights leadership best practices and leaders as change agents.

Chapter 2, “Cultivating the Leadership Relationship” (pp. 31–68)This chapter explains how effective leaders cultivate healthy relationships with staff members. The author discusses key leadership characteristics as well as the four essential elements of a healthy leadership relationship: trust, mutual respect, support, and communication.

Chapter 4, “Communicating with Clarity” (115–179)Chapter 4 describes the many aspects of communication and how each can affect relationships within the workplace. It includes common forms of miscommunication and tips for becoming a more effective communicator and listener.

Chapter 7, “Coaching and Developing Others” (pp. 295–307 only)The selected pages from Chapter 7 examine the misconceptions many leaders have about individual motivations. The author discusses workplace and work-life factors that influence employee motivation.

Achor, S. (2012). Positive intelligence. Harvard Business Review, 90(1/2), 100–102.  Retrieved from the Walden Library databases.

This article explores the theory that happiness precedes success. The author discusses three basic strategies that people can use to improve their mental well-being and performance at work.

Morse, G. (2012). The science behind the smile: Interview with Daniel Gilbert. Harvard Business Review, 90(1/2), 84–90.  Retrieved from the Walden Library databases.

In this interview, Daniel Gilbert discusses how happiness affects productivity at work. He also explains what makes people happy and how people can achieve it.

Muha, T. M., & Manion, J. (2010). Using positive psychology to engage your staff during difficult times. Nurse Leader, 8(1), 50–54.  Retrieved from the Walden Library databases.

Muha and Manion address the vacancies left behind by aging baby boomers and a poor economy. Hospitals must create a positive work environment for the younger nurses who will fill those vacancies.

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You are required to write a critical analysis of the disease of your choice.

Included in this analysis, you will need to explain how the disease you chose

affects the various body systems where relevant.

The following relevant and concise information must (if pertinent) be included in your write up.

▪ Name of disease

▪ History of the disease

▪ Description of disease

Anatomy of the system(s) involved

▪ Effects on other body systems

▪ Cause of disease

▪ Signs and symptoms

▪ Diagnosis of the disease

▪ Complications, if any

▪ Treatment and side effects

Conclusion should include the following:

▪ Brief mention of current or proposed research that may significantly impact the

▪ disease.

▪ Prevention strategies if any

▪ Your insight / opinion

NOTE: you must focus on the anatomy & physiology of the disease/disorder. Cover the normal anatomy & physiology of the organ system affected and then state what the disease/disorder does to this organ system, and other organ systems. In other words, if you are picking tuberculosis, I do not want you to go too much in detail about the bacteria that causes it but how the bacteria escape our body’s defenses and what the bacteria do to the lungs, bones, etc.

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 Please watch this short clip and answer following questions:

According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for Americans. Science has determined that the following modifiable factors contribute to heart disease:

• Smoking
• Obesity
• High blood pressure
• High cholesterol levels
• Sedentary life styles
• Uncontrolled diabetes
• Poor food choices

Directions: Watch the video. Once you have watched the video, please discuss the following with your classmates:

1. If the public is aware of the modifiable risk factors for heart disease, why is heart disease still so prevalent?
2. Describe two ways that nurses could motivate healthy lifestyle choices in their patients and community?
3. Do nurses have a responsibility to be role models of healthy life choices?
4. Of the seven factors from the video, which have you improved upon in your own life during the past year?

Watch VideoAmerican Heart Association’s Life Simple 7- Simple Factors that Impact Health and Quality of LifeDuration: 3:51
User: n/a – Added: 6/1/14 

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