NRS 434 Week 5 Discussion Question Two
NRS 434 Week 5 Discussion Question Two
End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history. It is done to detect diseases early in people that may look and feel well.
Evidence does not support routine health assessments in otherwise healthy people.
Health assessment is the evaluation of the health status of an individual along the health continuum. The purpose of the assessment is to establish where on the health continuum the individual is because this guides how to approach and treat the individual. The health care approaches range from preventive, to treatment, to palliative care in relation to the individual’s status on the health continuum. It is not the treatment or treatment plan. The plan related to findings is a care plan which is preceded by the specialty such as medical, physical therapy, nursing, etc.
These findings are important; however, epidemiologic studies must also consider other area-based socioeconomic measures (i. e., percentage below poverty) in order to examine the impact of neighborhood socioeconomic position (SEP) on LBW in particular and on health disparities in general (Krieger, Chen, Waterman, Rehkopf, & Subramanian, 2003; Krieger et al., 2003; Krieger, Williams, & Moss, 1997). Research associated with The Public Health Disparities Geocoding Project show that the “percentage of persons below poverty” is a robust measure of area-based SEP (Krieger, Chen, Waterman, Rehkopf, & Subramanian, 2003; Krieger et al., 2002; 2003). Some recent research, examining the relationship between race, class, and health outcomes, has begun to focus on concentrated poverty because African-American and Latino families are more likely to live in areas where a substantial segment of the population have incomes below the poverty level than do White families. Jargowsky (1997) found that African-American and Latino concentrated poverty increased between 1970 and 1990 by 70 and 158%, respectively, suggesting that the social, economic, and health conditions have declined for racial/ethnic minorities who are poor. A small body of research has produced results linking concentrated poverty to health problems.
Waitzman and Smith (1998) found that residence in areas where the neighborhood poverty rate equals from 20 to 40% was associated with an elevated risk of adult mortality. Sims and colleagues (2007) demonstrated that concentrated poverty has implications for the
health of children, with results indicating that residence in high-poverty areas (areas where the neighborhood poverty rate equals 40% or more) was associated with infant mortality rates among racial and ethnic groups. In short, this line of research establishes that harsh economic environments can contribute to unfavorable health conditions brought on by environmental stressors and the lack of access to quality healthcare (Geronimus, 2000).
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You are the registered nurse performing a health assessment on a newborn infant. From the functional health pattern portion of the assessment, you learn the mother is reluctant to breastfeed her baby. How do you respond? Explain the approach you will take to ensure adequate nutrition for the newborn, with or without breastfeeding. Provide rationale for your answer. Assessment of
environmental processes includes agents and factors that predispose communities and populations to injury, illness, and death. These factors are not always visible to those in positions to educate or affect change. View the video: “Lunchbox Differences in Decile 1 and Decile 10 Schools.” The video can be accessed using the following link:
Describe the concerns depicted by researchers. What relationship does this have to injury, illness, and death in the school-aged child?As adolescents separate from their parents and gain a sense of control, sometimes they are unable to balance stresses. As a result, depression may occur, and, at times, suicide may be the outcome. Choose the topic of either adolescent depression or adolescent suicide. Discuss contributing factors and signs and symptoms that may be observed or assessed in these clients. Describe primary, secondary, and tertiary methods of health prevention for this topic. Research community and state resources and describe at least two of these for your chosen topic. What nursing interventions could you use to assist an adolescent you suspect is depressed beyond referring the adolescent to a state or community resource? Adolescent pregnancy is viewed as a high-risk situation due to the serious health risks that this creates for the mother, the baby, and society at large. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.
For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three 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 evidenced-based literature. Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment?
End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with eviNRS 434 Week 2 Discussion Question Onedence-based literature.