Interventions for Health Promotion Case 3
University:
St. Thomas University
Interventions for Health Promotion Case 3
Paper Instructions
For this Discussion, your instructor will assign you a case number.
- Case 1
- Case 2
- Case 3
Cases
S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-American descent.
S.M. knows common health issues in Arab Americans include cardiovascular disease and diabetes. Her goals today are to gain the trust of the families she meets, learn about their health behaviors, provide education about healthy lifestyles, and arrange any follow-up care that may be needed.
C.B. is a student nurse practitioner completing her practicum in an office practice She assists the community with blood pressure and immunization clinics. The primary roles in this setting are education and health prevention.
C.B. has completed a population assessment and determined that the community is lacking in organized physical activities. The community that she is working in has a diverse age group between 56 and 87 years of age, with the majority of the residents being between 70 and 74 years of age. The members of the community are active in the health screenings and clinics and enjoy including the nursing staff in their activities.
D.Z. is a holistic nurse practitioner in a large multispecialty clinic. She works in the offices of surgeons, internists, and OBGYNs. Because the client population is so culturally diverse, D.Z. was hired to serve as a liaison between the providers of conventional healing and complementary and alternative healing practices.
One of D.Z. clients is M.L. She is 3 years old and has a seizure disorder. M.L. parents rely on traditional medicine to cure their daughter’s seizures. They believe her seizures are caused by the spirits. Their compliance with M.L daily anti-seizure medicine and follow-up appointments has been poor.
Questions for the case
- During the health fair, S.M. assesses her clients’ risk factors, including person-dependent factors and environmental-dependent factors. List at least 3 examples of a person-dependent factors and environmental dependent-factors.
- Which are the recommendations according to the Centers for Disease Control and Prevention for older adults regarding type, quantity and quality of exercise per week?
- Please define and describe Acupuncture as a therapeutic alternative and its indications.
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
- Define and describe the primary goals of screening.
- Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?
- Identify potential barriers to patient teaching and how you would address these barriers.
Submission Instructions
Must use Case number 3
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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Sample Answer
The case study presents a holistic nurse practitioner’s encounter with a 3-year-old child with a seizure disorder. The patient’s parents depend on traditional medicine to treat their daughter’s seizures. It is believed that her seizures are attributed to spiritual causes. The parent’s adherence to their child’s daily anti-seizure medication and follow-up appointments has been suboptimal.
Acupuncture
Acupuncture is a nonpharmacological therapeutic modality that is used for the management of various ailments and symptoms. Acupuncture is mainly used to manage persistent, nonmalignant pain in adults. Acupuncture is a medical modality and theoretical framework that revolves around the application of fine needles or pressure to precise anatomical locations on the body.
Recent studies have demonstrated the efficacy of transcutaneous auricular vagus nerve stimulation (ta-VNS), a procedure resembling electroacupuncture (EA) stimulation at specific acupoints on the ear (Andrews et al., 2020). These studies have shown that ta-VNS effectively reduces seizure frequency and enhances the quality of life in pediatric and adult patients with refractory epilepsy.
Primary Goals of Screening
A screening test is performed to identify potential health disorders or diseases in asymptomatic individuals. The objective is to achieve early detection and implement lifestyle modifications or surveillance measures to minimize the likelihood of developing a disease or to identify it early for optimal treatment. In the third case study, monitoring the child’s seizures provides valuable information regarding their frequency, type, and impact.
Economics and Nutrition
Research suggests a negative, nonlinear relationship between income level and food availability (Gephart et al., 2020). Additionally, low-income households may prioritize the quantity of food consumed over the quality of food. Low-income families perceive food expenses as flexible when confronted with financial limitations. They employ strategies to maximize their purchasing power, such as opting for more affordable alternatives of the same food items they would choose if they had more significant financial resources.
I recommend that clients focus on preparing affordable and nutritious meals and preserving foods grown at home. In addressing patients with financial constraints that hinder their food accessibility, I recommend implementing strategies such as establishing a budget, reducing consumption of highly processed foods, and engaging in price comparison and bulk purchasing to facilitate access to nutritious food options.
Barriers to Patient Teaching
Several challenges impede the seamless dissemination of healthcare information, including factors such as low literacy levels, cultural disparities, linguistic differences, and physiological limitations (Ocloo et al., 2021). As a nurse, it is incumbent upon me to assess and evaluate the patient’s learning requirements and their level of preparedness for acquiring knowledge, given the inherent variability in individual learning styles.
Interactive patient education solutions are often developed to cater to a specific literacy criterion, typically in a single language. The methodology above has the potential to inadvertently exclude those who possess weak language skills or lower levels of literacy, such as the patients described in the presented case study.
References
- Andrews, J. P., Ammanuel, S., Kleen, J. K., Khambhati, A. N., Knowlton, R. C., & Chang, E. F. (2020). Early seizure spread and epilepsy surgery A systematic review. Epilepsia, 61(10), 2163–2172. https //doi.org/10.1111/epi.16668
- Gephart, J. A., Golden, C. D., Asche, F., Belton, B., Brugere, C., Froehlich, H. E., Fry, J. P., Halpern, B. S., Hicks, C. C., Jones, R. C., Klinger, D. H., Little, D. C., McCauley, D. J., Thilsted, S. H., Troell, M., & Allison, E. H. (2020). Scenarios for Global Aquaculture and Its Role in Human Nutrition. Reviews in Fisheries Science & Aquaculture, 1–17. https //doi.org/10.1080/23308249.2020.1782342
- Lin, J.-G., Kotha, P., & Chen, Y.-H. (2022). Understandings of acupuncture application and mechanisms. American Journal of Translational Research, 14(3), 1469–1481. https //www.ncbi.nlm.nih.gov/pmc/articles/PMC8991130/
- Ocloo, J., Garfield, S., Franklin, B. D., & Dawson, S. (2021). Exploring the theory, barriers, and enablers for patient and public involvement across health, social care and patient safety a systematic review of reviews. Health Research Policy and Systems, 19(1). https //doi.org/10.1186/s12961-020-00644-3
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