Assignment: Assessment For Health Promotion
Assignment: Assessment For Health Promotion
1: Further objective data I would want to obtain would be body weight, height, BMI, and potentially labs such as cholesterols and triglycerides. Subjective data that I would want to get from the patient would be family health history. When obtaining the family health history, the patient should “include as many genetic relatives as possible” (Weber & Kelley, 2018). Weber and Kelley also stated that “such thoroughness usually identifies those diseases that may skip a generation (2018). For example, is there a history of heart attack or diabetes, what about obesity, or hypertension? Further, I would ask about smoking status, ways patient copes with stress, and what her typical meals include. Past medical history from the patient is also an important piece of information, does she take any medications, has she had any major surgeries, or does she have any chronic illnesses?
2: Jane Delgado stated “Hispanics have specific predispositions and risk factors concerning heart disease” (2014) in her article discussing Hispanic health. She went on to explain that Hispanics are also at an increased risk for diabetes as well (Delgado, 2014). Aside from her race, risk factors Maria has for heart disease would be her level of stress and potentially her weight. Depending on what Maria’s diet consists of, she could also be at risk for high cholesterol. Her recent weight gain, lack of sleep, and consumption of caffeine are all concerning.
3: Some points of health promotion that could be utilized are educating Maria on the importance of self care. It should be explained that despite having a busy life, not taking time for relaxation and yourself can lead to long term health problems. I would also want to provide education on the importance of a healthy diet. It is possible that Maria may need a referral to a dietician or to go see her primary care physician. Aside from her diet and stress, her lack of sleep would be something to discuss. Sleep hygiene should be explained. Maria may also need referral to a counselor to help her manage her stress and busy lifestyle, maybe the college has one on staff?
4: Imbalanced nutrition (more than body requirements) r/t increased caloric intake, sedentary lifestyle.
Stress overload r/t increased work, educational, and family responsibilities.
References:
Weber, J., Kelley, J., (2018). Health Assessment in Nursing 6th ed., pg 23.
Delgado, J., (2011) Hispanic Health, National Alliance for Hispanic Health, 136(94).
Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
What additional assessment data (subjective and/or objective) would you like to gather from Maria?
What actual health concerns and risk factors have you identified?
What are some opportunities to promote health and wellness for Maria?
Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)
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