Sample Answer for NRS 434 Assignment: Shadow Health Comprehensive Assessment Included After Question
NRS 434 Assignment: Shadow Health Comprehensive Assessment
NRS 434 Assignment: Shadow Health Comprehensive Assessment
Within the Shadow Health platform, complete the Comprehensive Assessment. The estimated average time to complete this assignment each time is 3 hours. Please note, this is an average time. Some students may need longer.
This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points).
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If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.
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Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
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A Sample Answer For the Assignment: NRS 434 Assignment: Shadow Health Comprehensive Assessment
Title: NRS 434 Assignment: Shadow Health Comprehensive Assessment
For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.
Re: Topic 4 DQ 2
People who exercise regularly could reduce their risk of developing hypertension and diabetes and slow down how quickly their body deteriorates as they age. Hypertension is characterized by persistently high blood pressure in the systemic arteries (Oparil et al., 2018). Blood pressure is expressed in two categories. Systolic blood pressure is the pressure that the blood exerts on the arterial wall when the heart contracts and the diastolic blood pressure when the heart relaxes. A person is considered hypertensive when the systolic blood pressure is greater than or equal to 140 and diastolic blood pressure is greater than or equal to 90 (Oparil et al., 2018).
According to Klarroubi&Darwish (2015), diabetes mellitus is defined as “a group of metabolic diseases characterized by chronic hyperglycemia resulting from defects in insulin secretion, insulin action, or both.” There are different classes of diabetes mellitus. Type I diabetes also called juvenile diabetes; it is autoimmune due to destruction of the b cells of the pancreas, characterized by the absence of insulin secretion and is more dominant in children and adolescents (Klarroubi&Darwish, 2015). Type II diabetes commonly seen in adults, gestational diabetes in pregnant women, and other types. Fasting plasma glucose of greater than or equal to 126mg/dL. (7.0 mmol/L, plasma glucose after 2-h OGTT greater than or equal to 200mg/dL (11.1mmol/L), HgbA1C greater than or equal to 6.5%, or a random plasma glucose greater than or equal to 200 along with symptoms of hyperglycemia is diagnostic of diabetes mellitus (Klarroubi&Darwish, 2015).
Hypertension is a major risk factor for cardiovascular disease. According to Ostchega et al., 2020, the risk for hypertension increases with age: 22.4% (aged 18-39), 54.5% (40-59) and 74.5% (60 and over). Hypertension prevalence was higher among non-Hispanic black 57.1% than non-Hispanic white 43.6%, and Hispanic 43.7%. The prevalence of age adjusted hypertension was 45.4% among adults and was higher among men (51.0) than women (39.7%) (Centers for Disease Control and Prevention, 2020). Diabetes represents a burden to modern societies. According to the National Diabetes Statistics Report 2020, 34.2 million people of all ages which represent 10.5% of the US population had diabetes; 34.1 million adults aged 18 or older (13.0%) of all US adults had diabetes; 7.3 million adults aged 18 or older met laboratory criteria but did not aware they had diabetes. Among adults aged 65 and older the percentage increased to 26.8%.
Health promotion and education is critical for patients diagnosed with hypertension and diabetes. Regular physical activity is proven to help prevent and manage hypertension and diabetes. As a nurse, I will educate my patient on the importance of being active to prevent adverse consequences from hypertension and diabetes such as stroke with paralysis or other coronary artery diseases which can cause morbidity or even death. Therefore, I will educate my patient of the benefits of walking, swimming, hiking, and dancing etc. According to World Health Organization (2020), adults aged 18-64 years old should do at least 150-300 minutes of moderate- intensity of aerobic physical activity; or at least 75-150 minutes of vigorous – intensity aerobic physical activity. Physical exercise is the most effective methods to help prevent and manage hypertension and diabetes (Patel et al., 2017).
NRS 434 Assignment: Shadow Health Comprehensive Assessment References:
Centers for Disease Control and Prevention (2020). National diabetes statistics report, 2020. www.cdc.gov/diabetes/library/features/diabetes-stat-report.html
Klarroubi, A.T., &Darwish, H.M. (2015). Diabetes mellitus: The epidemic of the century. World Journal of Diabetes, 6(6): 850-867. doi: 10.4239/wjd. v6.i6.850
Ostchega, Y., Fryar, C.D., Nwankwo, T., & Nguyen, D.T. (2020). Hypertension prevalence among adults aged 18 and over: United States, 2017-2018. National Center for Health Statistics. www.cdc.gov/nchs/products/databriefs/db364.html
Patel, H., Alkhawam, H., Madanieh, R., Shah, N., Kosmas, C.E., & Vittorio, T.J. (2017). Aerobic vs anaerobic exercise training effects on the cardiovascular system. World Journal of Cardiology, 9(2): 134-138. doi:10.4330/wjc. v9.i2.134
World Health Organization (2020). Physical activity. www.who.int/news-room/fact-sheets/detail/physical-activity
Subjective Data Collection: 33 of 33 (100.0%)
NRS 434 Assignment: Shadow Health Comprehensive Assessment
People who exercise regularly could reduce their risk of developing hypertension and diabetes and slow down how quickly their body deteriorates as they age. Hypertension is characterized by persistently high blood pressure in the systemic arteries (Oparil et al., 2018). Blood pressure is expressed in two categories. Systolic blood pressure is the pressure that the blood exerts on the arterial wall when the heart contracts and the diastolic blood pressure when the heart relaxes. A person is considered hypertensive when the systolic blood pressure is greater than or equal to 140 and diastolic blood pressure is greater than or equal to 90 (Oparil et al., 2018).
According to Klarroubi&Darwish (2015), diabetes mellitus is defined as “a group of metabolic diseases characterized by chronic hyperglycemia resulting from defects in insulin secretion, insulin action, or both.” There are different classes of diabetes mellitus. Type I diabetes also called juvenile diabetes; it is autoimmune due to destruction of the b cells of the pancreas, characterized by the absence of insulin secretion and is more dominant in children and adolescents (Klarroubi&Darwish, 2015). Type II diabetes commonly seen in adults, gestational diabetes in pregnant women, and other types. Fasting plasma glucose of greater than or equal to 126mg/dL. (7.0 mmol/L, plasma glucose after 2-h OGTT greater than or equal to 200mg/dL (11.1mmol/L), HgbA1C greater than or equal to 6.5%, or a random plasma glucose greater than or equal to 200 along with symptoms of hyperglycemia is diagnostic of diabetes mellitus (Klarroubi&Darwish, 2015).
Hypertension is a major risk factor for cardiovascular disease. According to Ostchega et al., 2020, the risk for hypertension increases with age: 22.4% (aged 18-39), 54.5% (40-59) and 74.5% (60 and over). Hypertension prevalence was higher among non-Hispanic black 57.1% than non-Hispanic white 43.6%, and Hispanic 43.7%. The prevalence of age adjusted hypertension was 45.4% among adults and was higher among men (51.0) than women (39.7%) (Centers for Disease Control and Prevention, 2020). Diabetes represents a burden to modern societies. According to the National Diabetes Statistics Report 2020, 34.2 million people of all ages which represent 10.5% of the US population had diabetes; 34.1 million adults aged 18 or older (13.0%) of all US adults had diabetes; 7.3 million adults aged 18 or older met laboratory criteria but did not aware they had diabetes. Among adults aged 65 and older the percentage increased to 26.8%.
Health promotion and education is critical for patients diagnosed with hypertension and diabetes. Regular physical activity is proven to help prevent and manage hypertension and diabetes. As a nurse, I will educate my patient on the importance of being active to prevent adverse consequences from hypertension and diabetes such as stroke with paralysis or other coronary artery diseases which can cause morbidity or even death. Therefore, I will educate my patient of the benefits of walking, swimming, hiking, and dancing etc. According to World Health Organization (2020), adults aged 18-64 years old should do at least 150-300 minutes of moderate- intensity of aerobic physical activity; or at least 75-150 minutes of vigorous – intensity aerobic physical activity. Physical exercise is the most effective methods to help prevent and manage hypertension and diabetes (Patel et al., 2017).
References:
Centers for Disease Control and Prevention (2020). National diabetes statistics report, 2020. www.cdc.gov/diabetes/library/features/diabetes-stat-report.html
Klarroubi, A.T., &Darwish, H.M. (2015). Diabetes mellitus: The epidemic of the century. World Journal of Diabetes, 6(6): 850-867. doi: 10.4239/wjd. v6.i6.850
Ostchega, Y., Fryar, C.D., Nwankwo, T., & Nguyen, D.T. (2020). Hypertension prevalence among adults aged 18 and over: United States, 2017-2018. National Center for Health Statistics. www.cdc.gov/nchs/products/databriefs/db364.html
Patel, H., Alkhawam, H., Madanieh, R., Shah, N., Kosmas, C.E., & Vittorio, T.J. (2017). Aerobic vs anaerobic exercise training effects on the cardiovascular system. World Journal of Cardiology, 9(2): 134-138. doi:10.4330/wjc. v9.i2.134
World Health Organization (2020). Physical activity. www.who.int/news-room/fact-sheets/detail/physical-activity