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DQ: Evaluate a clinical preventative intervention designed to promote health and wellness for populations

DQ Evaluate a clinical preventative intervention designed to promote health and wellness for populations

DQ Evaluate a clinical preventative intervention designed to promote health and wellness for populations

NUR 550 Topic 6 DQ 1

Health promotion is the process of enabling people to control their health and improve their health(Nash et al., 2021). A population health problem we have seen grow in the United States is obesity and in my area of work obesity in pregnancy carries a lot of 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 in pregnancy is associated with pre-eclampsia, preterm birth gestational diabetes and gestational hypertension, which can all be life altering to the mother. Obesity in pregnancy can also have developmental effects on the child such as predisposition to obesity and diabetes(Reichetzeder, 2021). Obesity is a preventable disease, yet when an obese women presents pregnant, the preventive intervention becomes management of the complications of obesity in pregnancy.

In my facility and my state, we have had an initiative to monitor women that have a BMI higher than 35 to educate and start on a mild exercise program to help manage the weight in pregnancy. Exercise in pregnancy has shown even in overweight women can protect the offspring from obesity and metabolic dysfunction later in life(Reichetzeder, 2021). The intervention is to have the women participate on 15-30 min of mild exercise a day. Pregnancy exercise and childbirth classes are offered to all women and are encouraged to participate, close monitoring of the pregnancy is also involved. While this is a fairly new intervention at my facility, outcomes of health is still being monitored but it has been received very well and had created a support group for women as well as receiving the exercise needed.

DQ Evaluate a clinical preventative intervention designed to promote health and wellness for populations

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 Nutritionhttps://doi.org/10.1038/s41430-021-00905-6

RESPOND HERE (150 WORDS, 3 REFERENCES)

Hello Deanna,

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.

DQ: Evaluate a clinical preventative intervention designed to promote health and wellness for populations

DQ Evaluate a clinical preventative intervention designed to promote health and wellness for populations

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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 Practice15(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)

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 increase of inexplicable maladies that affect healthcare outcomes has been a significant concern in the US. This has led to many healthcare professionals resorting to preventing such maladies because of their devastating effects on human health. As such, health promotion campaigns have been on the rise to teach the general population of effective ways of avoiding such diseases. The need to develop effective interventions for promoting health and wellness across a wide range of people has been one of the most effective and early ways to control diseases (Antonopoulou et al., 2020).

The solution to the increasing lifestyle diseases among the young and old has been a great challenge in the healthcare system. An increase in the number of patients suffering from lifestyle diseases such as diabetes and obesity signifies minimal development of health promotion plans in the communities (Krist et al., 2020). While it is difficult to control the appetite of many people, the healthcare system, through its organized healthcare campaigns, has been effective in training people on diet and the need to adopt a healthy lifestyle. These campaigns are carried out in settings such as clinical settings. Poor eating habits are one of the main issues that have resulted in more healthcare complications. Most people eat more protein and do not participate in body exercise, which ends up affecting their health. The increase in health promotion designs on healthy living has effectively changed the thinking of many people on a diet. The healthcare system has seen a significant increase in people being cautious about their health and ensuring that they have the desired healthy body weight (Ribeiro et al., 2019).

 

 

References

Antonopoulou, M., Mantzorou, M., Serdari, A., Bonotis, K., Vasios, G., Pavlidou, E., … & Giaginis, C. (2020). Evaluating mediterranean diet adherence in university student populations: Does this dietary pattern affect students’ academic performance and mental health? The International Journal of Health Planning and Management35(1), 5-21. https://doi.org/10.1002/hpm.2881

Krist, A. H., Davidson, K. W., Mangione, C. M., Barry, M. J., Cabana, M., Caughey, A. B., … & US Preventive Services Task Force. (2020). Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: US preventive services task force recommendation statement. Jama324(20), 2069-2075. doi:10.1001/jama.2020.21749

Ribeiro, P. D. M., Silva, A., Almeida, A. P., Hermsdorff, H. H., & Alfenas, R. C. (2019). Effect of chronic consumption of pistachios      (Pistacia vera L.) on glucose metabolism in pre-diabetics and type 2 diabetics: A systematic review. Critical Reviews In Food Science and Nutrition59(7), 1115-1123. https://doi.org/10.1080/10408398.2017.1392290

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