NRS 429V What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family?

Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

NRS 429 Topic 5 DQ 1 OLD SYLLABUS

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

ROBIN

Re: Topic 5 DQ 1

Health education is used to teach people how their actions or inactions have affected their overall health and well-being. Health promotion is when this information is used by the individual in order to promote their own health and have positive outcomes. “Nurses are actively involved in both health promotion and health education, providing education that is necessary to help patients achieve control over the promotion of their own health” Grand Canyon University, 2018). The nursing process is vital in developing health education. You first begin by assessing the knowledge your patient already has and what kind of learning style they possess. Next you would make a plan of how you wanted to educate the patient and the strategies they would best respond to. You should then implement the plan. And lastly, you need to evaluate how much and what information you patient has retained.

When I lived in the Midwest one of the major issues that affected many friends and family was the opioid epidemic. Many people I knew were not prone to drug abuse but because of lack of education found themselves abusing opioids. This type of addiction did not care what social or economic status you found yourself at, it did not discriminate against anyone. “Health education programs are a vital component to end the opioid epidemic by preventing opioid addiction and misuse before overdose or opioid-related comorbidities occur” (Policy Brief A Nation in Crisis: A Health Education Approach to Preventing Opioid Misuse and Addiction, n.d.). In order to slow the addiction to these kinds of drugs it is important to educate every patient before they begin taking any of these types of medications about their addictive nature. This should be done using public programs so that they have the information before they are even given an opioid. They then can address the issue with their doctor if they are ever prescribed an opioid. “Therefore, health education is not only effective in its ability to allow community members to make informed health decisions, but to improve safety and quality of life” (Policy Brief A Nation in Crisis: A Health Education Approach to Preventing Opioid Misuse and Addiction, n.d.).

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

Policy Brief A Nation in Crisis: A Health Education Approach to Preventing Opioid Misuse and Addiction. (n.d.). https://www.sophe.org/wp-content/uploads/2019/03/Policy-Brief-Heealth-education-and-opioids.pdf

REPLY TO ROBIN HERE

Hello Robin,

I agree with you that health education is critical component in nursing practice. It is the main tool that guides in health promotion approaches. The nurses have a responsibility to educate the members of the public on health risks, predisposing factors, the effects of the diseases and finally the preventive measures (Whitehead, n.d.). I also agree with you that health education empowers the members of the community hence increase their safety. This is as a result of having information on the risks of various lifestyle choices and habits that could have adverse effects to the health hence informed choices. Guidance and counselling patients is also a form of health education. In tackling the opioid misuse epidemic in the US, the federal regulation stipulates clearly the for the centers that dispense methadone treatment to offer counselling, the same applies to doctors who prescribe these drugs, they should refer the patients for counselling (Hoffman et al., 2019). This demonstrates how health education is a critical component in the healthcare systems.

References

Whitehead, D. (n.d.). Exploring health promotion and health education in nursing. Journals.Rcni.com. https://journals.rcni.com/nursing-standard/cpd/exploring-health-promotion-and-health-education-in-nursing-ns.2018.e11220/print/abs

Hoffman, K. A., Ponce Terashima, J., & McCarty, D. (2019). Opioid use disorder and treatment: challenges and opportunities. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4751-4

PARDEEP

Re: Topic 5 DQ 1

Health education plays an important role in health promotion in community. Health education given learning to community about healthy life practices to prevent diseases and promote the health life. The concept of health promotion, which focuses on socioeconomic and environmental determinants of health and participatory involvement, includes the narrower concept of health education (Whitehead,2008). Nurse educate the individual about his/her health needs and also addresses the socio-economical or cultural factors affecting adversely effecting on their health.

Nurse can use problem solving approach in developing the health education plan. Nurse will assess the patient what is his/her health needs and what kind of medical problems does patient have, nurse will diagnose, then make a plan and implement of that plan then finally evaluate the results of that plan, whether it is effective or not. For example nurse should gather the information regarding the patient in assessment and then determine the present and potential problems and strengths of the patient then formulate the make a plan, then implement that plan in actual means give that education to the patient and then evaluate it how much patient is following that and what is the patient’s understanding on that education, example patient is diabetic and non complaint of food, nurse gave education about diet, then evaluating the patient’s diet by checking his/her blood sugar and check is he complaint or non complaint still, if not then change the plan may be different methods of education needed.

In these days overweight and obesity is very common issues seen these days which lead to many health problems like stroke, cardiovascular problems, hypertension, sleep apnea, respiratory problems. Mainly cause of obesity and overweight is an increased rate of high fat and high sugar diet or high calorie food, people like to get fast foods ready to get food which is high in fat, no physical activity sedentary life style lead to overweight in population. Nurse can educate the family about intake of low calorie food and to decrease th carbs and sugar in their diet, can educate to increase the physical activity and set the schedule for exercise in daily life. Successful weight loss is sustained by combination of low calorie intake and increased physical activity (Franz,2007) behavior management is very necessary for loose weight or obesity, nurse can educate the families by educating them potential health risks related to obesity what diseases can occur due to obesity.

References:

Cntrb_037112 [PDF]. (2013). https://www.healthpartners.com/ucm/groups/public/@hp/@public/documents/documents/cntrb_037112.pd

Writers, S. (2020, November 23). Obesity in america | what are the consequences? PublicHealth.org. https://www.publichealth.org/public-awareness/obesity/consequences/

RESPOND TO PARDEEP HERE

Hello Pardeep,

I agree with you that the health education can take a problem solving approach, in this case the patient maybe having a health condition or is exposed to a predisposing factor, as a problem. The nurse and patient can agree to come up with an education plan that will be suitable to the patient to help in preventing the disease or improving the health status of the patient, then they move to implementation stage. They can together follow up on the progress and get to understand what works and what doesn’t hence improve on the plan for improved outcome. When patients are educated on their conditions, preventive measures and treatment the outcome greatly improves the patient’s overall health (FEREIDOUNI et al., 2019). Nurses are better placed to improve the general public health through health education, by emphasizing on health promotion measures. This will help in reducing the rates of hospitalization hence reduce the burden of care especially for conditions or diseases that can be preventable. The best example is the covid-19 pandemic where health education and health promotion has greatly cut down the infection rates to reduce the strain NRS 429V What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family on healthcare facilities (Van den Broucke, 2020).

References

FEREIDOUNI, Z., SABET SARVESTANI, R., HARIRI, G., KUHPAYE, S. A., AMIRKHANI, M., & KALYANI, M. N. (2019). Moving Into Action. Journal of Nursing Research, 27(1), e6. https://doi.org/10.1097/jnr.0000000000000280

Van den Broucke, S. (2020). Why health promotion matters to the COVID-19 pandemic, and vice versa. Health Promotion International, 35(2). https://doi.org/10.1093/heapro/daaa042

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MORGAN

Re: Topic 5 DQ 1

Professor and Peers,

Health education and health promotion are directly correlated with one another. Angel Falkner (2018) states, “Nurses are actively

involved in both health promotion and health education, providing education that is necessary to help patients achieve control over the promotion of their own health.” Nurses are constantly at the bedside providing either patient care or education, and sometimes, simultaneously. While working in the Post Anesthesia Care Unit (PACU), one of the tasks I was responsible for was providing discharge instructions to patients regarding the surgery or procedure they had. Along with discharge instructions, I would also include education regarding the importance of using their incentive spirometer, as well as doing their best to be somewhat active to help prevent common post-op complications such as pneumonia and blood clots. By doing so, I provided health education to promote health to my patients.

The nursing process is routinely used by nurses, specifically, ADPIE: assess, diagnose, plan, implement, and evaluation, which was engrained in all our minds in nursing school. Wingard (2004) states, “The nursing process provides a method for individualizing patient care and education for each patient and event.” According to Falkner (2018), “These steps vary to some degree when addressing the provision of health education, but the basic foundations remain the same.”

Methicillin Resistant Staphylococcus Aureus (MRSA), a resistant bacterium, is one of the common health concerns prevalent today due to a “misuse and overuse of antibiotics,” according to Falkner (2018). To address this health issue and incorporate it in the form of a health education plan for families, nurses first need to utilize the nursing process and ADPIE method mentioned above. The nurse must first assess the selected family and identify learning styles, cultural preferences and beliefs, preferred language, language barriers, as well as the families’ willingness to learn. Due to the diverse learning styles the family may have, it would be wise to incorporate a variety for an effective outcome. For the education aspect, Falkner (2018) states, “The primary focus is on the importance of hand hygiene, keeping any open wounds covered at all times until fully healed, and ways for covering coughs,” and it is also imperative that proper antibiotic information be provided in order to prevent and avoid the spread of MRSA. After education is provided, it is important that the nurse evaluate the effectiveness of the education taught and ask if the family has any questions, or if anything needs to be followed up on. Providing the family with physical papers to take home that is condensed, but highlights the importance of the matter, will also prove useful so that the family has something they can look at and read on their own.

Health education and promotion go hand in hand and is something that is crucial for the wellbeing of individuals across the continuum. As nurses, it is our duty to continuously advocate and educate our patients and their families for effective health promotion. “Nurses are instrumental in the fostering of health promotion through education and provision of resources” (Falkner, 2018).

References

Falkner, A. (2018). Health Promotion: Health & Wellness Across the Continuum. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/.

Wingard, R. (2004). Patient Education and the Nursing Process: Meeting the Patient’s Needs. ProQuest Ebook Central. https://search.proquest.com/openview/ddef94896f373b031cb1bcefe2766b15/1?pq-origsite=gscholar&cbl=45638.

RESPOND TO MORGAN HERE

Hello Morgan,

I agree with your finding that nurses are involved in both health education and health promotion, I also agree that health education and health promotion are aspects that are tied together. Nurses apply the concepts of health education to educate the patients and other members of the public on better health practices like nutrition and exercise, and also how best to follow the treatment regimen and better recovery practices. The health promotion aspects aim at keeping people fit and healthy to continue living a quality life (Journal of Health Promotion and Behavior, n.d.). I do agree with you that nurses have a responsibility of carrying out health promotion and health education. They are directly involved in the healthcare process therefore they are the main advocates for better health and quality life. Nurses are trained on health education and promotion and better ways to reach out to the members of the public and share information on good and healthy practices (Whitehead, n.d.).

References

Journal of Health Promotion and Behavior. (n.d.). Thejhpb.com. https://thejhpb.com/