• DO NOT ADD WK 5 IN THE RUNNING HEAD
• Review the Healthy People 2020 objectives for Access to Care. Of all the objectives listed under this topic,  
• which do you think would be most beneficial to the patients with chronic illness? Please give rationales and support responses with references. 
• Discuss how you feel nurses can positively impact the Healthy People 2020 goals.

Citations should conform to APA guidelines. I NEED 2 PAGES  WITH 2 CITATIONS. THIS IS A DISCUSSION. PLEASE READ THE INSTRUCTIONS.

 

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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 People Initiatives

In a two to three page paper, examine the history and development of the Healthy People initiatives. Discuss some of the successes and shortfalls of the three initiatives thus far; including Healthy People 2000, Healthy People 2010, and Healthy People 2020. Be sure to include statistical data from the initiatives to support your position.

Don’t forget to cite your sources.

 

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 Heart;Blood Vessels

  Anterior cross section showing the valves and chambers of the heart
What blood-tight partition divides the left heart from the right heart?

Which portion of the ECG represents a small deflection sometimes seen just after the T wave, representing the final phase of ventricular repolarization?

Does heart size increase or decrease with age? why?
Make a chart describing the characteristics of the following types of chest pain:

1. Angina
2. Esophageal
3. Pain from a peptic ulcer
4. Biliary
5. Arthritis or bursitis
6. Cervical
7. Musculoskeletal (chest)
8. Psychoneurotic

A patient is complaining of prolonged fever, signs of neurologic dysfunctions, and the sudden onset of congestive heart failure. What should be expected?

Name the five traditionally designated auscultatory areas

Is the absence of S3 and S4 an unusual finding?

Splitting of S2 is greatest during which part of respiration? 

Describe a pericardial friction rub.

Not all murmurs are the result of valvular defects. Name four other causes of murmurs

Which four cardiac defects make up the tetralogy of Fallot?

TY is a 67-year-old female patient who presents for follow-up for her hypertension and hyperlipidemia. Her PMH includes a diagnosis of aortic stenosis diagnosed 2 years ago, IBS, and a seizure disorder. Her family history includes her father, who died at age 55 years of a myocardial infarction and her mother, who is deceased, who had hypertension, diabetes, and coronary artery disease. Her social history is positive for smoking 1 PPD for 30 years; she quit 9 years ago. She is negative for alcohol and drug use. She lives in a two-bedroom condominium on one floor.

On examination, describe the murmur that you would hear for aortic stenosis.

Describe the cause of aortic stenosis. What is the cause for TY?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, what other causes are there for a heart murmur?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, describe a subaortic stenosis.

  Palpation of arterial pulses: Carotid, Brachial,  Radial, Femoral, Popliteal, Dorsalis pedis,  Posterior tibial.Define arterial blood pressure

Define arterial blood pressure

Which variables contribute to the characteristics of the pulses?

A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem?

What should you do if you have trouble finding the patient’s pulse? 

Describe the scale of 0 to 4 with regard to the amplitude of the pulse

If a patient experiences pain in the calf muscles, which artery is probably obstructed? 

What two values are recorded for the blood pressure? 

What is the mechanism behind cardiac tamponade? 

Where are the most common places for venous ulcers to appear?

TB is a 56-year-old female patient with Raynaud phenomenon. Her past medical history includes spinal stenosis, systemic lupus erythematosus, bipolar disorder, and overactive bladder.

A-Differentiate the primary and secondary types of Raynaud phenomenon.

B-In the patient’s initial presentation what would be the chief complaint if the patient had primary Raynaud phenomenon? Secondary Raynaud phenomenon?

C-Based on TB’s presentation, what assessment results would you expect to find? What if is she had primary Raynaud phenomenon?

 

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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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