4076-W6-D6

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Fazaia Degree College, M.R.F, Kamra, Attock *

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4076

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Nursing

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Nov 24, 2024

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docx

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Uploaded by maryamberlas

Healthier nations typically translate to healthier economies. The Implementation of Healthy People 2030 is a great step towards building a healthier nation. Healthy people, 2030 is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats. The initiative's primary aim is to have a society whereby all people live long and have healthy lives. The overarching goals of Healthy People 2030 are to: attain high- quality, longer lives free of preventable disease, disability, injury, and premature death; achieve health equity, eliminate disparities, and improve the health of all groups; create social and physical environments that promote good health for all; and promote quality of life, healthy development, and healthy behaviors across all life stages (Koh et al., 2011). There is a great correlation between my practicum experience and the vision portrayed in Healthy People 2030. For my project, I chose to work with an aggregate in a beauty salon, and through my experience by way of interacting and researching more about them, I have noted that most of them have at least one chronic health condition. My goal is that they can maximize health and quality of life by managing symptoms from existing health conditions. There are several ways that I have been educating my aggregate in the management of their disease, and among them is maintaining a healthy weight, reducing stress, increasing their physical activity through exercise, and limiting consumption of salt. This week in my practicum I reviewed and learned about the most common risk factors for diabetes and hypertension in my aggregate and also working in the nursing diagnosis for my project. To identify these risk factors, examination of the patient's past medical history, age, ethnicity, family history of diabetes and hypertension, and current medications is taken into consideration. Adequate care for people with chronic illnesses such as diabetes mellitus has become an increasing challenge for healthcare systems all over the world. The early diagnoses of diabetes can help improve complications later in life and decrease the health and economic burden placed on the healthcare systems. In order to diagnose individuals earlier they need to be screened using a risk assessment tool. There is evidence that shows if the patient understands the risk factors the patient is more likely to support health related behaviors. According to 9Health Fair, a systematic risk assessment is the cornerstone of any evidence based medical approach in ‐ the prevention of long term complications (9Health Fair, 2021). ‐ During these past two weeks, I also used the Type 2 Diabetes Risk Test, an assessment tool published by 9Health. Fair to screen patients of my aggregate in the community of Tampa, Florida. The risk assessment asks 7 quick questions. For each question you answer it gives you a number. You add up the numbers from the 7 questions and get your score. If you score 5 or higher, you have an increased risk of having type 2 diabetes. The seven questions are: 1.How old are you? Less than 40 years (0 points) 40-49 years (1 point) 50-59 years (2 points) 60 years or older (3 points) 2. Are you a man or a woman? Man (1 point) Woman (0 points) 3. If you are a woman, have you ever been diagnosed with gestational diabetes? Yes (1 point) No (0 points) 4.Do you have a mother, father, sister, or brother with diabetes? Yes (1 point) No (0 points)

5.Have you ever been diagnosed with high blood pressure? Yes (1 point) No (0 points) 6.Are you physically active? Yes (0 points) No (1 point) 7.What is your weight status? (a chart is shown to calculate BMI with points assigned) After assessing my aggregate, I found that they are far more interested in learning about diabetes if they are at risk for the disease. This week I offered them general information about diabetes and suggested they see their primary care physician for an annual exam, general blood work including Hemoglobin A1C test. This also led me to find out that a vast majority of my aggregate did not do yearly lab work last year in 2022 and now have a 2-year gap when comparing labs to see if there are any changes. Some general information about the disease I educated the patients on were tied into the assessment. I explained you could get type 2 diabetes at any age but some risk factors that put you at higher risk are: being older, being overweight, having a family history of the disease, not being physically active, being a woman (especially being a woman who had gestational diabetes), or being African Americans, Latino, Native American, and Asian American/ Pacific Islander (9Health Fair, 2021). The aggregates and I have been talking and educating about the effects uncontrolled diabetes has on the body. This includes eyesight and kidneys for them that can affect their health over time. Educating them about the importance of ADA diet, engaging in range of motion exercises, and following daily blood glucose check. Nurses play a significant role in the management of chronic diseases, and one of the most important roles in nursing is patient education. Patient education is particularly important in the case of chronic disease management. For these conditions, there's no quick fix. They require. sustained treatment over time, and patients need check-ups to keep the diseases from becoming lifethreatening. For patients to successfully manage those diseases, they have to learn about their illnesses and practice the treatments enough to be effective. This is where nurses come in as they are the ones who interact with these patients most of the time. It is helpful to have a team approach to educating patients to help them manage their chronic diseases, and because nurses oversee how multiple doctors' orders are implemented, they are critical members of that team. References Egan, B. M., Li, J., Hutchison, F. N., & Ferdinand, K. C. (2014). Hypertension in the United States, 1999 to 2012: progress toward Healthy People 2020 goals. Circulation,130(19), 1692-1699. Koh, H. K., Piotrowski, J. J., Kumanyika, S., & Fielding, J. E. (2011). Healthy people: a 2020 vision for the social determinants approach. Health Education & Behavior,38(6),551-557. Norris, S. L., Glasgow, R. E., Engelgau, M. M., O’Connor, P. J., & McCulloch, D. (2003). Chronic disease management. Disease Management & Health Outcomes,11(8), 477- 488. 9Health Fair. (2021). Diabetes Risk Assessment. Retrieved from https://www.9healthfair.org/behealthy/diabetes/

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