NUR 550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations
NUR 550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations
NUR 550 Topic 6 DQ 1 Evaluate a clinical preventative intervention designed to promote health and wellness for populations
Health promotion is the practice of empowering people to take charge of and improve their own health (Nash et al., 2021). Obesity is a growing population health issue in the United States, and in my line of work, pregnancy complications are exacerbated by obesity. Obesity during pregnancy is linked to higher risk pregnancies, birth complications, as well as long-term issues and effects on the unborn child (Reichetzeder, 2021). Pre-eclampsia, premature birth, gestational diabetes, and gestational hypertension are all conditions associated with pregnancy obesity that can have serious health consequences for the mother. Obesity and diabetes are just two of the developmental effects of prenatal obesity on the unborn child (Reichetzeder, 2021). Although obesity is a preventable disease, when an obese woman becomes pregnant, the emphasis shifts from prevention to managing the complications of pregnancy obesity. We have a program in place at my facility and in my state to track pregnant women with BMIs greater than 35 and educate them on the importance of weight management during pregnancy. Even in overweight women, exercise during pregnancy has been shown to prevent obesity and metabolic abnormalities in the fetus later in life (Reichetzeder, 2021). The strategy calls for the ladies to do 15 to 30 minutes of light exercise per day. All women are welcome to attend childbirth and pregnancy exercise classes, and close pregnancy monitoring is also provided. Although this is a new initiative at my facility, health outcomes are still being tracked, but it has been well received and has assisted in the formation of a support group for women while also providing the necessary activity.
Evaluate a clinical preventative intervention designed to promote health and wellness for populations. Summarize the intervention and explain whether it has been successful. You will use the clinical preventative intervention you select for DQ2.
Re: Topic 6 DQ 1
Health promotion is the process of empowering people to control and improve their health. Obesity is a growing population health issue in the United States, and in my field, obesity during pregnancy has many complications. Obesity in pregnancy is associated with higher risk pregnancies and complications in birth as well as long term complication and consequences of the child (Reichetzeder, 2021). Obesity during pregnancy is linked to pre-eclampsia, preterm birth, gestational diabetes, and gestational hypertension, all of which can have serious consequences for the mother. Obesity during pregnancy can also have developmental consequences for the child, such as an increased risk of obesity and diabetes. Obesity is a preventable disease, but when an obese woman becomes pregnant, the preventive intervention becomes management of obesity complications in pregnancy. We have an initiative in my facility and state to monitor women with a BMI greater than 35, educate them, and start them on a mild exercise program to help them manage their weight during pregnancy. Exercise during pregnancy has been shown to protect offspring from obesity and metabolic dysfunction later in life, even in obese women. The intervention is for the women to do 15-30 minutes of light exercise per day. All pregnant women are encouraged to participate in pregnancy exercise and childbirth classes, and their pregnancy is closely monitored. While this is a relatively new intervention at my facility, health outcomes are still being monitored, but it has been well received and has created a support group for women in addition to providing the necessary exercise.
Nash, D. B., MD, MBA, Skoufalos, A., EdD, MS, Fabius, R. J., MD, FACPE, & Oglesby, W. H., Phd, MBA, MSPH, FACHE. (2021). Population Health Creating a Culture of Wellness (3rd ed.) [e-book]. Jones & Bartlett Learning.
Reichetzeder, C. (2021). Overweight and obesity in pregnancy: Their impact on epigenetics. European Journal of Clinical Nutrition. https://doi.org/10.1038/s41430-021-00905-6
Also Check Out: NUR 550 Topic 7 DQ 2 Select an effective current health policy that focuses on or affects population health
RESPOND HERE (150 WORDS, 3 REFERENCES)
Hello,
I do agree with you that health promotion measures are taken to help one live a quality life free from medical or clinical complications that are preventable. One of the critical pillars of the Affordable Care Act and Patient Protection Act, is the insistence on health promotion measures as a way of ensuring population health and reduced strain of the already limited healthcare facilities and human resources (Chait & Glied, 2018). Obesity is one of the population health concern that can be adequately death with through proper dieting and regular exercise. Majority of other healthcare complications results from obesity hence the need to ensure that people of all ages monitor and regulate their weight through proper dieting and regular exercise that fits their age, occupation and other genetic predisposition. Many life-threatening comorbidities have been strongly linked to obesity. They include cardiorespiratory diseases, type 2 diabetes and some cancers such as colon and intestinal (Fruh, 2017). Health promotion measures should involve educational programs that carry out population awareness campaigns and sensitization drive to promote health and fitness.
References
Chait, N., & Glied, S. (2018). Promoting Prevention Under the Affordable Care Act. Annual Review of Public Health, 39(1), 507–524. https://doi.org/10.1146/annurev-publhealth-040617-013534
Fruh, S. M. (2017). Obesity. Journal of the American Association of Nurse Practitioners, 29(1), S3–S14. https://doi.org/10.1002/2327-6924.12510
Re: Topic 6 DQ 1
Lung cancer has been the number one cause of cancer death in the United States (Office of Disease Prevention and Health Promotion [ODPHP], 2021). Finding lung cancer earlier on, at a lower stage, will be easier to treat and could save lives. Studies have found that low-dose computed tomography (CT) screenings detect a majority of lung cancer at stage 1 or limited stage (Copeland et al., 2019). This has now been approved at no cost to patients under the Affordable Care Act if they meet certain requirements. They must be between the ages of 50 and 80, have a history of heavy smoking, and currently smoke or have quit in the past 15 years (ODPHP, 2021). Although it is great for those who meet all of these requirements, it would be better if this could become standard for anyone who meets at least one of these requirements. Many patients can still get lung cancer even if they have never smoked a cigarette in their life. More translational research studies could prove the benefit and eventually change the criteria.
References
Copeland, A., Criswell, A., Ciupek, A., & King, J. C. (2019). Effectiveness of lung cancer screening implementation in the community setting in the united states. Journal of Oncology Practice, 15(7), e607–e615. https://doi.org/10.1200/jop.18.00788
Office of Disease Prevention and Health Promotion. (2021, March 15). Lung Cancer Screening: Questions for the doctor. My Health Finder. Retrieved July 22, 2021, from https://health.gov/myhealthfinder/topics/doctor-visits/talking-doctor/lung-cancer-screening-questions-doctor
RESPOND HERE (150 WORDS, 3 REFERENCES)
Hello ,
I do agree with you that early detection of cancer is a crucial step towards promoting recovery from this life-threatening condition. Cancer is the second leading cause of death in the US. According to the data from the American Cancer Society, it is estimated that there are about 1.8 million new cancer cases as end of the year 2020 and 606,520 deaths (Siegel et al., 2021). The most common type of cancers diagnosed include breast, colorectal, lung, prostate, melanoma of the skin, bladder, endometrial, kidney, pancreatic and leukemia. Of these types of cancers, prostate, lung and colorectal cancers account for 43 percent of all the cancer cases among men while breast, lung, and colorectal account for 50 percent of the new cases diagnosed in women (National Cancer Institute, 2020).
The burden of cancer is highly challenging to our communities and the public health department hence the need to promote quality care that will improve the diagnosis, care and treatment processes. Cancer patients need quality care that will enhance their ability to recover and continue enjoying quality life.
References
Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2021). Cancer Statistics, 2021. CA: A Cancer Journal for Clinicians, 71(1), 7–33. https://doi.org/10.3322/caac.21654
National Cancer Institute. (2020). Cancer Statistics. National Cancer Institute; Cancer.gov. https://www.cancer.gov/about-cancer/understanding/statistics
ANGELA
Re: Topic 6 DQ 1
Although cervical cancer is highly preventable, it is the fourth most common type of cancer that occurs in females worldwide (Cohen et al., 2019). Furthermore, according to Cohen et al. (2019), the human papillomavirus (HPV) is a major cause of cervical cancer. However, there are highly effective tools in place such as HPV vaccines and screenings to combat this disease.
Current cervical cancer screening guidelines for the care of healthy women include HPV cotesting with all Papanicolaou (Pap) smears after the age of 30. Routine screening every three years with a Pap test (ages 21-29) or every five years with a Pap-HPV cotest (ages 30-65) ensures that precancerous changes are detected early to initiate treatment appropriately. Screening in the United States is a major concern because many women are unscreened or under-screened. According to the US Centers for Disease Control and Prevention, data show that only 83% of U.S. women reported compliance with current cervical cancer screening guidelines, which is below the Healthy People 2020 target of 93% (as cited by Nayar et al., 2018). Although progress has been made, this preventive healthcare measure is vital in protecting women from cervical cancer.
References
Cohen P.A. Jhingran A, Oaknin A. & Denny L. (2019). Cervical cancer. The Lancet, 393(10167), 169-182. doi: 10.1016/S0140-6736(18)32470-X
Nayar, R., Goulart, R. A., & Davey, D. D. (2018). Primary HPV cervical cancer screening in the United States: Are we ready? Journal of the American Society of Cytopathology, 7(1), 50-55. https://doi.org/10.1016/j.jasc.2017.12.001
RESPOND HERE (150 WORDS, 3 REFERENCES)
Hello Angela,
I agree with you on the fact that it is imperative to put measures in place to help support the campaign against cervical cancer and help in raising awareness on healthy lifestyle choices that will keep cancer and other related comorbidities at bay (Fontham et al., 2020). One organization that is committed to raising such awareness and helping in development of the framework on reducing the damage of cancer in our societies is the American Cancer Society. The society works in collaboration with community-based organizations to encourage people on cessation of cigarette smoking, reduction in alcohol consumption, healthy nutrition and physical exercise to keep fit. Moreover, they do partner enhancing access to quality healthcare services. This helps in ensuring that the people are able to undergo early screening and incase of any risk they begin early treatment before the cancer spreads to vital organs. There are also programs that encourages sharing of the experiences, with an interactive online community of cancer survivors who give hope to those battling the disease (American Cancer Society, 2018). It also advocates for equality in terms of healthcare services and reducing the healthcare disparities that arise among different racial and ethnic communities in the US.
References
Fontham, E. T. H., Wolf, A. M. D., Church, T. R., Etzioni, R., Flowers, C. R., Herzig, A., Guerra, C. E., Oeffinger, K. C., Shih, Y. T., Walter, L. C., Kim, J. J., Andrews, K. S., DeSantis, C. E., Fedewa, S. A., Manassaram‐Baptiste, D., Saslow, D., Wender, R. C., & Smith, R. A. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 70(5). https://doi.org/10.3322/caac.21628
American Cancer Society. (2018). How We’re Providing Support. Cancer.org; American Cancer Society. https://www.cancer.org/about-us/what-we-do/providing-support.html
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