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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 h...

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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..

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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



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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:
https://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity




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