NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Sample Answer for NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems Included After Question

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.

A Sample Answer For the Assignment: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Title: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Middle- aged adults experience a variety of health concerns, varying from terminal illness to minor problems. Though our health is very important to us, the reality should be addressed with the individual early on in the diagnosis. Two health issues that can be improved with regular activity are hypertension and high cholesterol. According to Falkner, “Proper nutrition and physical activity are essential and lead to positive effects on overall health and help to prevent disease”…“ For instance, if the patient does not have access or financial means to join a gym, the nurse could help them develop a home workout regimen or a walking plan. The nurse should also provide proper nutrition recommendations such as those described on the Unites States Food and Drug Administration (USDA) website” (2018).

Hypertension is a pesky illness that may stay borderline for years, but the body can only tolerate the higher pressures within the blood vessels before it starts to damage vital organs and cause further health issues. The CDC conducted a study which showed “During 2015–2016, the prevalence of hypertension was 29.0% and increased with age: age group 18–39, 7.5%; 40–59, 33.2%; and 60 and over, 63.1%” (CDC, 2017). The fact is, these rates will continue to climb unless action is taken to reverse these illnesses. Increasing physical activity and exercise will allow these individuals to improve heart health, as well as become more aware of other health improvements. Along with changing your lifestyle, you should also encourage the individuals to monitor blood pressure daily, provide better dietary choices low in fats and salts, and also giving the individual the ability to still feel like they have options.

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High Cholesterol is another illness that can be modified if lifestyle and dietary changes are made. According to the CDC, “Nearly 94 million U.S. adults age 20 or older have total cholesterol levels higher than 200 mg/dL. Twenty-eight million adults in the United States have total cholesterol levels higher than 240 mg/dL” (CDC, 2017). The goal for optimal cholesterol is anything less than 200 mg/dL. According to Heart, “Eat a heart-healthy diet. Focus on plant-based foods, including fruits, vegetables and whole grains. Limit saturated fats and trans fats. Monounsaturated fat, found in olive and canola oils, is a healthier option. Avocados, nuts and oily fish are other sources of healthy fat” (2021). They also suggest “Exercise regularly. With your doctor’s OK, work up to at least 30 minutes of moderate intensity exercise five times a week. Don’t smoke. If you smoke, find a way to quit” (Heart, 2021).

NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems
NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

References:

Centers for Disease Control and Prevention. (2017d). New CDC report: More than 100 million Americans

have diabetes or prediabetes. Retrieved from

https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html

My cholesterol guide. American Heart Association. https://www.heart.org/en/health-

topics/cholesterol/cholesterol-tools-and-resources. Accessed March 10, 2021.

A Sample Answer 2 For the Assignment: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Title: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

According to Erikson’s stage of development, the middle-aged adult is in the generativity versus stagnation stage wherein roles within the society and contribution to the society are balanced with personal success ( Grand Canyon University, 2018). This equates to stress and less attention to health. Diabetes in the United States has increased to 100 million cases according to the CDC (CDC, 2017). The prevalence of diabetes among adults from 2018-2019 also depends on education level, with 13.4% has less than high school education, 9.2% with high school education, and 7.1% with higher than high school learning ( CDC, 2021). Diabetes also may go hand in hand with the other health risk issue of coronary heart disease for a middle-aged adult. Both these risk factors may be prevented or managed by an increase in physical exercise and a change in lifestyle (Folsom et. al, 2003).

The first measure to take as a nurse to assist patients with health promotion measures is to do a thorough assessment on the patient, including their willingness to learn and change their lifestyle. Then the patient can be enrolled and assisted in proper education using evidence-based materials, connecting them to the right health care team such as the cardiac rehab program that will tailor the exercise program and the lifestyle changes needed, for example, the target heart rate, the proper exercise activity to start the program then to increase the intensity (Healthwise, 2022). Ensuring the patient that the exercise program will be tailored to their initial capacity, and to enumerate the benefits they will get may get a better result

References:

Grand Canyon University (Ed). (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/

Healthwise. (2022). Peace Health. Retrieved from: Coronary Artery Disease: Exercising for a Healthy Heart | PeaceHealth

Prevalence of Diagnosed Diabetes | Diabetes | (2021). Retrieved from: Prevalence of Diagnosed Diabetes | Diabetes | CDC

Folsom, A. R., Chambless, L. E., Duncan, B. B., Gilbert, A. C., Pankow, J. S., & Atherosclerosis Risk in Communities Study Investigators (2003). Prediction of coronary heart disease in middle-aged adults with diabetes. Diabetes care, 26(10), 2777–2784. https://doi.org/10.2337/diacare.26.10.2777

A Sample Answer 3 For the Assignment: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Title: NRS 434 For the middle-aged adult, exercise can reduce the risk of various health problems

Hypertension and Type 2 Diabetes Mellitus (T2DM) are considered lifestyle diseases since they are associated with lifestyle factors such as poor diet, physical inactivity, smoking, and excessive alcohol consumption. Therefore, regular physical exercise and activity can help in preventing and managing the two diseases. High cholesterol levels in obese and overweight persons impair absorption of blood glucose, causing hyperglycemia and resultant T2DM (Wake, 2020). Physical exercises promote weight loss and reduce cholesterol levels, which increases the reuptake of glucose in the blood. Furthermore, lowering cholesterol levels reduces the risk of atherosclerosis, which impedes blood flow causing high blood pressure (Bakker et al., 2018). Regular physical exercises improve cardiac functioning and lower blood pressures, thus preventing and managing hypertension.

According to the CDC, about half of the U.S. adult population (47%, or 116 million) have hypertension or are taking an antihypertensive. Besides, approximately 25% of this population have their blood pressure under control. Approximately 37.3 million people have diabetes, which is 11.3% of the U.S. population (Lawrence et al., 2021). Of this population, 28.7 million people have a medical diagnosis, including 28.5 million adults. There are about 5 million people with diabetes who are undiagnosed. Undiagnosed adults account for 23.0%. Furthermore, Diabetes was the seventh leading cause of mortality in the U.S. in 2019 (Lawrence et al., 2021).

The measures I would take to help clients include exercise and physical activity in their lives include assisting them in developing an exercise plan. The plan will include aerobic and muscle-strengthening exercises for at least 40 minutes per day for a minimum of 5 days a week. I would also help the client in identifying areas in their daily lives where they can incorporate physical activity such as walking or cycling to work or the mall and using the stairs instead of the lift/escalator (Wake, 2020). I would recommend clients to begin with beginner-friendly moderate exercises such as jogging, cycling, walking, and swimming. The intensity of the exercises will increase as the patient becomes more tolerant to exercises to running, squats, burpees, and jumps. The American Diabetes Association (2022) recommends moderate-intensity exercises 30-45 minutes a day, a minimum of five days a week. It also recommends muscle-strengthening exercises at least twice a week.

References

American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers. Clinical diabetes, 40(1), 10-38. https://doi.org/10.2337/cd22-as01

Bakker, E. A., Sui, X., Brellenthin, A. G., & Lee, D. C. (2018). Physical activity and fitness for the prevention of hypertension. Current opinion in cardiology, 33(4), 394–401. https://doi.org/10.1097/HCO.0000000000000526

Lawrence, J. M., Divers, J., Isom, S., Saydah, S., Imperatore, G., Pihoker, C., Marcovina, S. M., Mayer-Davis, E. J., Hamman, R. F., Dolan, L., Dabelea, D., Pettitt, D. J., Liese, A. D., & SEARCH for Diabetes in Youth Study Group (2021). Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017. JAMA, 326(8), 717–727. https://doi.org/10.1001/jama.2021.11165

Wake, A. D. (2020). Antidiabetic Effects of Physical Activity: How It Helps to Control Type 2 Diabetes. Diabetes, metabolic syndrome and obesity : targets and therapy, 13, 2909–2923. https://doi.org/10.2147/DMSO.S262289

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Grading Rubric

Performance Category 100% or highest level of performance

100%

16 points

 Very good or high level of performance

88%

14 points

 Acceptable level of performance

81%

13 points

 Inadequate demonstration of expectations

68%

11 points

 Deficient level of performance

56%

9 points

 

 Failing level

of performance

55% or less

0 points
 Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic topics.

 Presentation of information was exceptional and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information was good, but was superficial in places and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information was minimally demonstrated in all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
  

Presentation of information is unsatisfactory in one of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
  

Presentation of information is unsatisfactory in two of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 Presentation of information is unsatisfactory in three or more of the following elements

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
 16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
Application of Course Knowledge

Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

 Presentation of information was exceptional and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information was good, but was superficial in places and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information was minimally demonstrated in the all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in one of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in two of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
 Presentation of information is unsatisfactory in three of the following elements

  • Applies principles, knowledge and information and scholarly resources to the required topic.
  • Applies facts, principles or concepts learned scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
   10 Points 9 Points  6 Points  0 Points
Interactive Dialogue

Initial post should be a minimum of 300 words (references do not count toward word count)

The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

Responses are substantive and relate to the topic.

 Demonstrated all of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 3 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 2 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
 Demonstrated 1 or less of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
  8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
Grammar, Syntax, APA

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

Error is defined to be a unique APA error. Same type of error is only counted as one error.

 The following was present:

  • 0-3 errors in APA format

AND

  • Responses have 0-3 grammatical, spelling or punctuation errors

AND

  • Writing style is generally clear, focused on topic,and facilitates communication.
 The following was present:

  • 4-6 errors in APA format.

AND/OR

  • Responses have 4-5 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is somewhat focused on topic.
 The following was present:

  • 7-9 errors in APA format.

AND/OR

  • Responses have 6-7 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is slightly focused on topic making discussion difficult to understand.
  

The following was present:

  • 10- 12 errors in APA format

AND/OR

  • Responses have 8-9 grammatical, spelling and punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.
  

The following was present:

  • 13 – 15 errors in APA format

AND/OR

  • Responses have 8-10 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.

AND/OR

  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
 The following was present:

  • 16 to greater errors in APA format.

AND/OR

  • Responses have more than 10 grammatical, spelling or punctuation errors.

AND/OR

  • Writing style does not facilitate communication
  0 Points Deducted 5 Points Lost
Participation

Requirements

Demonstrated the following:

  • Initial, peer, and faculty postings were made on 3 separate days
 Failed to demonstrate the following:

  • Initial, peer, and faculty postings were made on 3 separate days
  0 Points Lost 5 Points Lost
Due Date Requirements Demonstrated all of the following:

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Demonstrates one or less of the following.

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

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