Yol
Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
Objective: Increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions (Healthy People 2020).
Chronic conditions may be difficult to manage based on the complexities of a disease. Additionally, managing one or more chronic conditions may be time consuming. Time consuming tasks may take the form of monitoring (e.g. checking blood glucose), keeping a diary, scheduling appointments, sorting and taking medications, exercising, meal planning, etc.. The Agency for Healthcare Research and Quality (2015) suggests the burden of these tasks significantly impact how patients manage their chronic conditions, and that patients often find it difficult to complete all these tasks in order to manage their condition effectively. Personally, I see examples of this every day at the hospital: Patients are not confident in their self-management ability and are therefore unable to demonstrate skill or awareness in regards to their condition. Despite receiving adequate medical attention from outstanding multidisciplinary teams, patients continue to show little interest in self-management, ultimately resulting in an overwhelming number of older adults who lack the confidence to manage one or more chronic conditions (Bodenheimer, 2005). Healthcare providers are being forced to seek new and innovative ways to connect with patients and reinforce educational material in order to give patients the confidence and skill to manage their care. I believe this objective to be most important because self-management is clinically proven to result in better outcomes. It is proven that support for patients and caregivers improve confidence in managing conditions. Recently, my hospital has added to its emphasis on education and follow up… Simply providing information to patients is not enough to build confidence, skill, nor the knowledge to manage their health. Therefore, nursing must collaborate to reinforce behaviors and promote better health outcomes in patients.
There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.
Based on recent events that have transpired in the news, one might acknowledge that refugees and immigrants are a vulnerable population… many of whom are struggling with chronic illness, and undeniably experiencing challenges related to our healthcare delivery system. Several barriers exist for this group, including language and technology barriers, expectations of medical care, cultural differences, as well as unique health risks or diseases specific to their population. Using a translation service can be helpful in alleviating language barriers. Offering translation services also builds trust and promotes communication with the patient. On another note, it is not uncommon for refugees and immigrants to have false expectations of how our healthcare system operates. As the IRSA points out, “many refugees develop an idealized image of a system that will take care of all their needs, spiritual and physical,” (Burgess, 2004) but this is not necessarily the case, and these ideals should be clarified. We need to help develop realistic expectations while still engaging the patient in medical services… and helping them to understand the system, instead of completely turning them away. Specific diseases and conditions relative to a population can be addressed by promoting vaccination/immunization, promoting oral health, and helping patients to maintain healthy diets while continuing to incorporate their cultural preferences. Alternative medicines should be included in the plan of care when it is appropriate. Care should also be taken to include religious or cultural practices into the plan of care in order to address any spiritual components of care.
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Nursing Illness And Diseasewk3dicussion 18952993
/in Uncategorized /by developerBrT
Review Healthy People 2020 Global Health Initiatives. Choose one disease process and discuss the disease process, the goal of Healthy People 2020, and how the CDC plays a role in meeting the goal.
The disease process I chose to discuss is heart disease and stroke. Heart disease is caused by various risk factors including, smoking, hypertension, high cholestrerol, poor diet, and inactivity. Patients can also be genetically predisposed to heart disease. Healthy people 2020 has set a goal and interventions to help reduce the amount of people affected by this disease and to improve the quality of life of those that are affected. Improve cardiovascular health and quality of life through prevention, detection, and treatment of risk factors for heart attack and stroke; early identification and treatment of heart attacks and strokes; prevention of repeat cardiovascular events; and reduction in deaths from cardiovascular disease (Healthy People 2020, 2018). This goal can be met by patients becoming aware of their risk for heart disease. This takes place by having screenings such as labs to check for high cholesterol, smoking cessation counseling, and management of high blood pressure. The CDC supports Healthy People 2020 in reaching their goal. With $165 million for heart disease and stroke programs (including WISEWOMAN) in Fiscal Year 2018, CDC supports all 50 states and the District of Columbia to conduct heart disease and stroke prevention efforts (CDC, 2018). The goal can be met with interventions being implemented not only by patients but healthcare providers. Healthcare providers must use screenings to determine the risk of heart disease. Also important would be educating the patient of the effects of the disease and management of the disease including compliance with medication such as a daily regimen of aspirin if not contraindicated. Heart disease and stroke are big topics in the United states that need awareness and initiatives for meeting goals. In addition to being the first and fifth leading causes of death, heart disease and stroke result in serious illness and disability, decreased quality of life, and hundreds of billions of dollars in economic loss every year (Healthy People 2020, 2018).
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Nursing Illness And Diseasewk3dicussion
/in Uncategorized /by developerDiscussion Question
Respond to one of the following questions:
Citations should conform to APA guidelines.
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Nursing Illness And Diseasewk3project
/in Uncategorized /by developerUsing the information from the interview you conducted in Week 2(see attached document), list in descending order the support needs of your participant. Also discuss how to implement objectives of Healthy People 2020 to increase wellness. Give examples of appropriate interventions of the professional caregiver, for example, the nurse.
Submit your findings in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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Nursing Illness And Diseasewk4dicussion 18959967
/in Uncategorized /by developerTam////
There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges
“More than 80% of homeless people have at least one chronic health condition & more than 50% have a mental health disease” (Chronic Disease Management in the Homeless, 2014). Of the populations there are about 40-60% that suffer from substance abuse.
Some of the risk factors of those that are homeless are tobacco abuse, alcohol abuse, malnutrition, exposure to the environment, IV drug use, trauma, stress and suppressed immunity.
Some of the barriers to treatment are no access to medications, medication storage, no transportation, no financial resources, no housing, and poor nutritional access.
Treatment approaches for the homeless that have chronic disease are to discuss in detail the patient’s limitations to follow the treatment plan. You should also try to empower the patient by helping them set goals and set priorities that they will be able to obtain. There are also homeless assistance programs that would benefit those that were willing to receive it like HUD and the National Coalition for the Homeless.
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Nursing Illness And Diseasewk4dicussion 18959987
/in Uncategorized /by developerYol
Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
Objective: Increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions (Healthy People 2020).
Chronic conditions may be difficult to manage based on the complexities of a disease. Additionally, managing one or more chronic conditions may be time consuming. Time consuming tasks may take the form of monitoring (e.g. checking blood glucose), keeping a diary, scheduling appointments, sorting and taking medications, exercising, meal planning, etc.. The Agency for Healthcare Research and Quality (2015) suggests the burden of these tasks significantly impact how patients manage their chronic conditions, and that patients often find it difficult to complete all these tasks in order to manage their condition effectively. Personally, I see examples of this every day at the hospital: Patients are not confident in their self-management ability and are therefore unable to demonstrate skill or awareness in regards to their condition. Despite receiving adequate medical attention from outstanding multidisciplinary teams, patients continue to show little interest in self-management, ultimately resulting in an overwhelming number of older adults who lack the confidence to manage one or more chronic conditions (Bodenheimer, 2005). Healthcare providers are being forced to seek new and innovative ways to connect with patients and reinforce educational material in order to give patients the confidence and skill to manage their care. I believe this objective to be most important because self-management is clinically proven to result in better outcomes. It is proven that support for patients and caregivers improve confidence in managing conditions. Recently, my hospital has added to its emphasis on education and follow up… Simply providing information to patients is not enough to build confidence, skill, nor the knowledge to manage their health. Therefore, nursing must collaborate to reinforce behaviors and promote better health outcomes in patients.
There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.
Based on recent events that have transpired in the news, one might acknowledge that refugees and immigrants are a vulnerable population… many of whom are struggling with chronic illness, and undeniably experiencing challenges related to our healthcare delivery system. Several barriers exist for this group, including language and technology barriers, expectations of medical care, cultural differences, as well as unique health risks or diseases specific to their population. Using a translation service can be helpful in alleviating language barriers. Offering translation services also builds trust and promotes communication with the patient. On another note, it is not uncommon for refugees and immigrants to have false expectations of how our healthcare system operates. As the IRSA points out, “many refugees develop an idealized image of a system that will take care of all their needs, spiritual and physical,” (Burgess, 2004) but this is not necessarily the case, and these ideals should be clarified. We need to help develop realistic expectations while still engaging the patient in medical services… and helping them to understand the system, instead of completely turning them away. Specific diseases and conditions relative to a population can be addressed by promoting vaccination/immunization, promoting oral health, and helping patients to maintain healthy diets while continuing to incorporate their cultural preferences. Alternative medicines should be included in the plan of care when it is appropriate. Care should also be taken to include religious or cultural practices into the plan of care in order to address any spiritual components of care.
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Nursing Illness And Diseasewk4dicussion 18959993
/in Uncategorized /by developerLat
Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
After reviewing the healthy people 2020, “their goal is to Improve the health, function and quality of life of the older adults” (HealthyPeople2020). I feel that the most important objective for the older adults are to decrease the rate of emergency department visit due to falls. As adults increase in age they become more at risk for falls which can lower their quality of life or lead to death. Falls usually occur for one of these reasons chronic illnesses, impaired vision, environmental hazards and medications. “Every year, 3 million older people are treated in the emergency department for fall injuries” (CDC, 2017). We can prevent falls by increasing awareness of falls and educating patients and their families about ways to prevent falls. There are ways to prevent falls such as having your doctor review your medication, have an eye exam once a year and participating in activity for strength and balance. Also make your home safer by making sure your home has adequate lighting and getting rid of things that will cause falls.
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Nursing Illness And Diseasewk4dicussion
/in Uncategorized /by developerDiscussion Question
Respond to the following question:
.There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.
To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
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Nursing Illness And Diseasewk4dicussionrep
/in Uncategorized /by developerCas
When reviewing the Healthy People 2020 objectives for Access to Health Services, all of their objectives are legitimate and important. All of the topics are problems in our healthcare system, however, I feel that increasing the persons with a usual care provider and increase the number of practicing care providers is the most important (Healthy People, 2018). I do not know if this is just a problem in California, or if it is nationwide, but patients in my area have an extremely difficult time finding a primary care provider, whether it is a Physician, Physicians Assistant or Nurse Practitioner. There is such a shortage in my area, that patients have to wait months to get established with a provider. Then when they are ill or have an acute problem their provider is unable to see them within a few days because there is no appointments for weeks. Most end up going to a prompt care type setting or to the emergency department. I believe that if we can increase the number of practicing care providers patients will then be able to have a usual care provider that can see them in a timely manner for more acute problems and to adequately manage the patients chronic illness, leading to fewer emergency department visits and hospitalizations.
This is one of the reasons I would like to pursue a Master’s Degree and become a Family Nurse Practitioner after obtaining my BSN. I see so many patients in the Emergency Department, that are there every week for problems that would be easily treated by a physician or mid-level. Most of these patients are elderly without access to resources and are failing outpatient treatment. When you have a practitioner that can see the patient, set up in home resources and follow up, the patients outcome is likely to much more successful.
It appears that the shortage of primary care providers presents a challenge for the entire US healthcare system and is not only in my area. Historically, physicians did not present with a positive attitude when the topic of including PAs and NPs, as key players in augmenting primary care. Current medical practice has become a complex, multilayered problem, that is requiring a team approach. Physicians alone will be unlikely to meet future demands for primary care and and also specialty care. Therefore, greater attention will likely be focused on the PA and NP profession and its ability to continue to adapt to meet society’s healthcare needs (Coplan, Smith & Cawley, 2017).
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Nursing Illness And Diseasewk4project
/in Uncategorized /by developerWeek 4 Project
Locating Resources
Locate a minimum of three community or national resources for your illness group chosen in Week 1( see attached), preferably in your community. Study these resources and write a report about them in a 4- to 5-page Microsoft Word document. Include in your response all the information the patient should know about them (the specific services they offer, fee schedules, if and when appropriate, criteria for eligibility, and any other important information). Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
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Nursing Illness And Diseasewk5dicussion 18966535
/in Uncategorized /by developeryoha
Discuss how you feel nurses can positively impact the Healthy People 2020 goals.
As nurses, I think that we can impact the Healthy People 2020 goals by carrying them out. It’s very important that what we do it’s always thinking on the safety, improvement, healthy lifestyle, prevention of illness of every patient we come across. With this, we also as we discussed in week 4, must keep in mind the well-being of lesbian, gay, bisexual and transgender (LGBT) individuals. Research suggests that LGBT individuals face health disparities linked to societal stigma, discrimination, and denial of their civil and human rights. There is a need for more research to document, understand, and address the environmental factors that contribute to health disparities in the LGBT community (AMN Healthcare, 2015).
Nurses can impact community health positively by committing, serving as leaders, contributing and reinforcing health equity to achieve optimal health for all populations. Realizing the vision of healthy people in healthy communities is possible only if the community, in its full cultural, social, and economic diversity, is an authentic partner in changing the conditions for health.(Institute of Medicine, 2012).
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