Physical Activity Exercise and Diabetes Discussion Responses

Physical Activity Exercise and Diabetes Discussion Responses

Sample Answer for Physical Activity Exercise and Diabetes Discussion Responses Included After Question

Physical Activity Exercise and Diabetes Discussion Responses

Description

1. The older diabetic patient discussed in week two project had the following preliminary issues: hypertension, arthritis, and visual impairments. His wellness program hence will provide supervised exercises, patient and family education and support throughout his journey, while also implementing lifestyle changes. The community center was well suited for supervised physical exercises. Supervised physical exercises are effective measures to improve muscle metabolism, and maintain strength (Seene, & Kaasik, 2012). Additionally, exercises have been reported to increase insulin sensitivity and aid in the achievement of improved glycemic control. Other benefits include better weight management, reduced blood pressure, and the risk of cardiovascular disease. Even though exercises are encouraged, the patient will be advised to discontinue boxing and change to non-impact sports due to the ongoing treatment for arthritis.

A Sample Answer For the Assignment: Physical Activity Exercise and Diabetes Discussion Responses

Title: Physical Activity Exercise and Diabetes Discussion Responses

The patient will be taught about the total cessation of alcohol intake that will help prevent hypoglycemic events. Avoidance of the barbecue and the integration or fresh fruits and vegetables will help achieve good lipid profiles (Khazrai, Defeudis, & Pozzilli, 2014). Since the patient takes multiple medications, the patient and his family will be taught on the importance of keeping a drug schedule, and having well-labeled, color-coded areas for keeping different drugs that will assist in minimizing mixing up of medications and the risk of overdose. Due to visual impairments, the patient’s family will be taught on the importance of increased lighting in the interior areas of the house and the introduction of walking rails. Orthopedic shoes for walking around to prevent the development of backache, and ease tension on the knees will be highly recommended. For emotional support, a close family relationship with his family will be highly encouraged. Since the patient was Hindu, he will be highly encouraged to engage in worshiping together with his family in the community temple. Close family relationships and religious worship will improve emotional health and spiritual growth (Choi, & Hastings, 2018).

The above approach takes into account the physical health, emotional and spiritual health, patient and family education, home safety, community participation, and improved self-care. A holistic approach will not only improve the overall health of the patient but also assist him in attaining confidence in self-management, improved emotional wellbeing, and spiritual growth. This above provides an optimum level of well-being.

References

Seene, T., & Kaasik, P. (2012). Muscle weakness in the elderly: Role of sarcopenia, dynapenia, and possibilities for rehabilitation. European Review of Aging and Physical Activity, 9(2), 109-117. doi:10.1007/s11556-012-0102-8

Choi, S. A., & Hastings, J. F. (2018). Religion, spirituality, coping, and resilience among African Americans with diabetes. Journal of Religion & Spirituality in Social Work: Social Thought, 38(1), 93-114. doi:10.1080/15426432.2018.1524735

Khazrai, Y. M., Defeudis, G., & Pozzilli, P. (2014). Effect of diet on type 2 diabetes mellitus: A review. Diabetes/Metabolism Research and Reviews, 30(S1), 24-33. doi:10.1002/dmrr.2515

2 My subject for the week 2 project was D.K. a 65-year-old female with minimal health conditions. She reported mild hypertension and hyperlipidemia, and chronic neck and back pain due to an MVA in 2001 which required surgical replacement of cervical vertebrae using bone from her hip (D.K., personal communication, August 18, 2020). She voiced interest in attending a gym and increasing exercise. From the questionnaire and assessment, I performed for the project, I discovered the need for D.K. to[AJ1] participate in a consistent exercise program that includes both cardio and weight-bearing exercise. Exercise offers multiple benefits for the older adult such as decreasing the risks of cardiovascular disease, hypertension, diabetes, obesity, and some types of cancers (“Promoting Wellness in Older Patients”, 2017). Chronic back pain can lead to decreased activity and deconditioning of back muscles which can lead to increased back pain (Sturos, n.d.). Weight training can improve back health and pain by improving the function and strength of muscles in the back and core, increasing lean muscle mass and decreasing body fat, and increasing the ROM of the spine (Sturos, n.d.).

My recommendation for her would be to enroll in MCA Health & Fitness Center which is a local wellness center that is run and owned by a cardiology group. They developed this center to provide patients and non-patients with convenient access to a program that is customized to fit their individual needs (“Providers”, n.d.). The exercise plan is customized with a review of medical conditions/ histories, as well as oxygen, blood pressure, and heart rate monitoring (“Providers”, n.d.). The staff there are well trained in kinesiology, exercise physiology, and exercise and fitness management (“Providers”, n.d.). D.K. would receive a program tailored to her physical abilities and limitations with monitoring and education regarding how to perform the exercises safely and effectively. This would not only help improve D.K.’s back health but her overall health as well as it can improve her HTN and cholesterol and lower her risks for other chronic diseases. Exercise is a great way to relieve stress and improve mental health. According to an article by Edith (2014), exercise is a holistic approach to achieve “outstanding health” as it not only reduces risks for disease and boosts metabolism, it also improves mental health. She goes on to state, “It has been demonstrated to improve mood, slow the cognitive decline associated with aging, reduce dementia risks, improve sleep, reduce stress and increase self-confidence” (Edith, 2014).

References:

Edith, J. (2014, January 07). 4 Reasons Why Exercise Is Holistic Medicine. Retrieved from https://www.onegreenplanet.org/lifestyle/4-reasons…

Promoting Wellness in Older Patients. (2017). Retrieved from https://www.nia.nih.gov/health/promoting-wellness-…

Providers. (n.d.). Retrieved from http://montgomerycardiovascular.com/fitness-center/

Sturos, E. (n.d.). Weight Training Effectively Relieves Back Pain. Retrieved from https://www.spine-health.com/blog/weight-training-effectively-relieves-back-pain

3 What is the most important factor that causes caregiver role strain?

Family caregivers are very important in supporting, promoting and maintaining the health of the people they are responsible for that are suffering from a chronic disease. They are responsible to perform activities of daily living that the sick person is not able to do. As a result, the caregiver can experience some negative effects called caregiver role strain. In my opinion, the most important factor that causes caregiver role strain is the severity of the illness. For example, in the case of a wife that is caring for her husband with prostate cancer, she has to spend a lot of time with him and she must also go to work, care for the children.

• How do you assess for caregiver strain?

The quality of life of caregivers usually tends to deteriorate in physical, psychological and social aspects. Honea et al. (2008) said that caregiver role strain can be measured objectively or subjectively. An objective measurement of caregiver burden can be for instance the number of tasks the caregiver performs on behalf of the patient (Bookwala & Schulz, 2000; Gaugler et al., 2005). Several tools are proposed to effectively assess for caregiver strain. The Memorial Symptom Assessment Scale measures the burden related to frequency, severity, and distress of the patient’s symptoms. It is rated from 1 to 4: 1(rarely, slightly severe, no distress at all) to 4 (almost constantly, very severe, very much distress) (Honea et al., 2008).

• What can be done to prevent or decrease caregiver role strain?

Research has proven that certain interventions are likely to be effective in lessening caregiver role strain. Psycho-educational interventions such as teaching problem-solving skills, include patient symptom assessment and management, teaching coping skills. Psychotherapy interventions such as teaching caregivers to monitor their own feelings, helping them challenge negative thoughts that may create issues for them and helping caregivers engage in pleasant activities and positive experiences (Honea et al., 2008).

Reference

Honea NJ, Brintnall R, Given B, Sherwood P, Colao DB, Somers SC, & Northouse LL. (2008). Putting evidence into practice®: nursing assessment and interventions to reduce family caregiver strain and burden. Clinical Journal of Oncology Nursing, 12(3), 507–516. https://doi-org.su.idm.oclc.org/10.1188/08.CJON.507-516

Rueda Diaz, L. J., de Almeida Lopes Monteiro da Cruz, D., & de Cassia Gengo E Silva, R. (2016). Caregiver role strain: bi-national study of content validation. Investigacion y Educacion En Enfermeria, 34(2), 280–287. https://doi-org.su.idm.oclc.org/10.17533/udea.iee.v34n2a07

4. Choose one disease process and discuss the disease process.

Chronic obstructive pulmonary disease (COPD) is an umbrella term used to described respiratory disease characterized by airway obstruction. COPD is a complex mix of signs and symptoms in patients with chronic bronchitis and emphysema with cigarette smoking being an important risk factor. Other factors, such as exposure to indoor and outdoor air pollution, occupational hazards, and infections, can cause COPD (Mannino and Buist, 2007). Although, smoking is the leading cause of COPD, however, not all smokers acquire COPD, and COPD can develop in nonsmokers as well. Sign and symptoms of COPD consist of Cough, SOB especially with physical activity, wheezing, and chest tightness.

COPD is the third leading cause of death by disease in the United State (Burt and Corbridge, 2013). More than 16.4 million people have been diagnosed with COPD, and there are millions of people who have the disease and may not know it. COPD causes serious long-term disability and early death. At this time there is no cure, but with the proper medication and support management, COPD is manageable (American Lung Association, 2020).

Discuss the goals for this disease presented in Healthy People 2020.

According to the healthy people 2020, the goals for COPD include;

Reduce activity limitations among adults with chronic obstructive pulmonary disease (COPD)

Reduce deaths from chronic obstructive pulmonary disease (COPD) among adults

Reduce hospitalizations for chronic obstructive pulmonary disease (COPD)

Reduce emergency department (ED) visits for chronic obstructive pulmonary disease (COPD)

How does the CDC play a role in meeting the goals?

CDC works hard to lower the prevalence of COPD rates by offering smoking and tabacco cessation. They have campaigns that educated the nation on the benefits of quitting. They offer free quit coaching, quit plan, educational materials, and referrals to local resources to those who needs it (CDC, 2020).

Reference

American Lung Association (2020). Retrieved from https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/learn-about-copd

Healthy People 2020 (2020). Retrieved fromhttps://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases/objectives

Center for Disease Control and Prevention (2020). Retrieved from https://www.cdc.gov/tobacco/quit_smoking/index.htm?s_cid=osh-stu-home-nav-002

Burt, L., & Corbridge, S. (2013). COPD exacerbations. AJN The American Journal of Nursing, 113(2), 34-43.Pierson, D. J. (2000). Pathophysiology and clinical effects of chronic hypoxia. Respiratory care, 45(1), 39-51.

Mannino, D. M., & Buist, A. S. (2007). Global burden of COPD: risk factors, prevalence, and future trends. The Lancet, 370(9589), 765-773.

5. Thank you for discussing the various stages of Alzheimer’s disease. This is important information to know. In regards to the behavioral therapeutic strategies that can help with the treatment of Alzheimer’s, you had stated “The therapeutic techniques involve physical activities and music therapy which are used as viable and useful treatments”. How are physical activities and music therapy specifically beneficial? Thank you for your post!

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource