Health assessment of the young and middle-aged adult Student’s name Institution Health assessment of the young and middle-aged adult Question 1 From the patient inform
Health assessment of the young and middle-aged adult
Health assessment of the young and middle-aged adult
Question 1 From the patient inform, various factors have to be considered, as her ethnicity is quite diverse. Interviewing Ms. Li, one has to take into consideration that her ethnicity is bound to differences based on cultural conditioning that she has had, the norms she has lived with and the culture in the United States.
One should take note that Asians are very conservative whether being male or female. It would be imperative to ask Ms. Li is she is comfortable either being interviewed by a male or female health specialist.
The interview language should be based on her level of education to avoid communication barriers such as the use of complicated terminology, which might make her nervous (Jeffreys, 2015). One can use open-ended questions while interviewing her.
The fact that she is young; there is the likelihood that she might be hesitant and only give yes or no answers to the questions asked. She might try to avoid eye contact hence it would be important to respect her personal space and employ motivational interviewing tactics to obtain the needed information.
The Abuse Assessment Screen denoted as AAS refers to screening tool, used by medical practitioners to detect abuse of pregnant women and then refer them to counselors (McFarlane et al., 2001). Consequently, the abuse is also documented in the alleged victim’s medical records. The AAS has various elements taking the approach of a multiple-item questionnaire, which assesses the frequency, and severity of the abuse.
In case abuse is discovered, one should ensure that the victim is safe from the abuse and document the abuse. The case should then be reported to the proper authorities and refer the victim to a counselor for additional psychiatric assessment. Collaborate with other staff to ensure that the victim has a safe abode where she can be discharged such as an abuse shelter for women (Jeffreys, 2015).
Jeffreys, M. R. (2015). Teaching cultural competence in nursing and health care: Inquiry, action, and innovation. Springer Publishing Company.
McFarlane, J., Hughes, R. B., Nosek, M. A., Groff, J. Y., Swedlend, N., & Dolan Mullen, P. (2001). Abuse assessment screen-disability (AAS-D): measuring frequency, type, and perpetrator of abuse toward women with physical disabilities. Journal of Women’s Health ; Gender-Based Medicine, 10(9), 861-866.
Diabetes mellitus Type 2 is a metabolic disorder characterized by high sugar in the blood, lack of insulin and resistance (Colberg, Sigal, Fernhall, Regensteiner, Blissmer, Rubin ; Braun, 2010). Some of the common symptoms include frequent and increased thirst, hunger and urination, weight loss, lethargy and sores that do not heal. Globally it is estimated that over 390 million people have the disorder. This makes up about 89% of all diabetes cases in the world (Colberg et al., 2010). It is common in both developing and developed nations. It is more prevalent among women and certain ethnic groups.
Hypertension also commonly known as high blood pressure (HBP) which denotes a condition where there is an abnormal pressure of the blood in the body. If unmanaged can lead to stroke or a heart attack. It is a global health concern. Globally, the prevalence of the disorder in adults aged 25 years and over was over 40% in 2015. It is estimated that nearly a billion people in the world have uncontrolled blood pressure. It is most prevalent in Africa among both sexes even though men are at a greater risk of the ailment than women at 39% and 32% respectively. Prevalence is also high among individuals with diabetes.
Obesity is global menace affecting everyone in the society. Prevalence of obesity in the society is fueled by various factors such as diets, sedentary lifestyles, social factors and genetics among others (Swift, Johannsen, Lavie, Earnest, ; Church, 2014). About 2.8 million people succumb due to obesity and being overweight (Swift, Johannsen et al., 2014). It also increases the risk of other disorders such as diabetes mellitus, hypertension, and stroke among others (Mendes, Sousa, Almeida, Subtil, Guedes-Marques, Reis, ; Themudo-Barata, 2015). In America, over 26% of the population is obese. Women are predisposed to obesity more than men.
As a nurse, I would assess my patient’s fitness so that I can come up with a recommended exercise activity that fits them. Evaluation of the patient’s speaking and comprehension abilities would help determine the way forward in incorporating exercise into their lifestyle. After these assessments, I would enquire about their hobbies and routines to know where to incorporate the exercises and activities into their lifestyle if they do not already have an exercise plan.
150 minutes a week of regular aerobic activity would prove beneficial to help alleviate these health issues. I also recommend 75 minutes a week of intense aerobic activity or even a combination of both. A Randomized Controlled Trial (RCT) conducted in reviewing the treatment of diabetes mellitus type 2 and hypertension, showed that a healthy diet and physical activity proved better in managing the disorder rather than using metformin (Diaz ; Shimbo, 2013).
I would advise the patient on the significance of physical activity on their health and prevent disorders prevalent in their sedentary lives. Explaining to them what physical activity entails such as mildly being out of breath and sweaty. Recommended activities include bike riding, jogging, paddling, swimming, aerobics, yoga, tennis, and rope skipping. These can be done five to six days a week with a resting day.
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., … Braun, B. (2010). Exercise and Type 2 Diabetes: The American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care, 33(12), e147–e167. http://doi.org/10.2337/dc10-9990Diaz, K. M., ; Shimbo, D. (2013). Physical Activity and the Prevention of Hypertension. Current Hypertension Reports, 15(6), 659–668. http://doi.org/10.1007/s11906-013-0386-8Mendes, R., Sousa, N., Almeida, A., Subtil, P., Guedes-Marques, F., Reis, V. M., ; Themudo-Barata, J. L. (2015). Exercise prescription for patients with type 2 diabetes—a synthesis of international recommendations: narrative review. Br J Sports Med, bjsports-2015.
Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., ; Church, T. S. (2014). The Role of Exercise and Physical Activity in Weight Loss and Maintenance. Progress in Cardiovascular Diseases, 56(4), 441–447. http://doi.org/10.1016/j.pcad.2013.09.012