EVALUATE A CLINICAL PREVENTATIVE INTERVENTION DESIGNED TO PROMOTE HEALTH AND WELLNESS FOR POPULATIONS NUR 550

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EVALUATE A CLINICAL PREVENTATIVE INTERVENTION DESIGNED TO PROMOTE HEALTH AND WELLNESS FOR POPULATIONS NUR 550

Evaluate a clinical preventative intervention designed to promote health and wellness for populations. Summarize the intervention and explain whether it has been successful. You will use the clinical preventative intervention you select for DQ2.

Re: Topic 6 DQ 1

Health promotion is the process of enabling people to control their health and improve their health(Nash et al., 2021). A population health problem we have seen grow in the United States is obesity and in my area of work obesity in pregnancy carries a lot of complications. Obesity in pregnancy is associated with higher risk pregnancies and complications in birth as well as long term complication and consequences of the child (Reichetzeder, 2021). Obesity in pregnancy is associated with pre-eclampsia, preterm birth gestational diabetes and gestational hypertension, which can all be life altering to the mother. Obesity in pregnancy can also have developmental effects on the child such as predisposition to obesity and diabetes(Reichetzeder, 2021). Obesity is a preventable disease, yet when an obese women presents pregnant, the preventive intervention becomes management of the complications of obesity in pregnancy. In my facility and my state, we have had an initiative to monitor women that have a BMI higher than 35 to educate and start on a mild exercise program to help manage the weight in pregnancy. Exercise in pregnancy has shown even in overweight women can protect the offspring from obesity and metabolic dysfunction later in life(Reichetzeder, 2021). The intervention is to have the women participate on 15-30 min of mild exercise a day. Pregnancy exercise and childbirth classes are offered to all women and are encouraged to participate, close monitoring of the pregnancy is also involved. While this is a fairly new intervention at my facility, outcomes of health is still being monitored but it has been received very well and had created a support group for women as well as receiving the exercise needed.

Nash, D. B., MD, MBA, Skoufalos, A., EdD, MS, Fabius, R. J., MD, FACPE, & Oglesby, W. H., Phd, MBA, MSPH, FACHE. (2021). Population Health Creating a Culture of Wellness (3rd ed.) [e-book]. Jones & Bartlett Learning.

Reichetzeder, C. (2021). Overweight and obesity in pregnancy: Their impact on epigenetics. European Journal of Clinical Nutrition. https://doi.org/10.1038/s41430-021-00905-6

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RESPOND HERE (150 WORDS, 3 REFERENCES)

Hello Deanna,

I do agree with you that health promotion measures are taken to help one live a quality life free from medical or clinical complications that are preventable. One of the critical pillars of the Affordable Care Act and Patient Protection Act, is the insistence on health promotion measures as a way of ensuring population health and reduced strain of the already limited healthcare facilities and human resources (Chait & Glied, 2018). Obesity is one of the population health concern that can be adequately death with through proper dieting and regular exercise. Majority of other healthcare complications results from obesity hence the need to ensure that people of all ages monitor and regulate their weight through proper dieting and regular exercise that fits their age, occupation and other genetic predisposition. Many life-threatening comorbidities have been strongly linked to obesity. They include cardiorespiratory diseases, type 2 diabetes and some cancers such as colon and intestinal (Fruh, 2017). Health promotion measures should involve educational programs that carry out population awareness campaigns and sensitization drive to promote health and fitness.

References

Chait, N., & Glied, S. (2018). Promoting Prevention Under the Affordable Care Act. Annual Review of Public Health, 39(1), 507–524. https://doi.org/10.1146/annurev-publhealth-040617-013534

Fruh, S. M. (2017). Obesity. Journal of the American Association of Nurse Practitioners, 29(1), S3–S14. https://doi.org/10.1002/2327-6924.12510

Re: Topic 6 DQ 1

Lung cancer has been the number one cause of cancer death in the United States (Office of Disease Prevention and Health Promotion [ODPHP], 2021). Finding lung cancer earlier on, at a lower stage, will be easier to treat and could save lives. Studies have found that low-dose computed tomography (CT) screenings detect a majority of lung cancer at stage 1 or limited stage (Copeland et al., 2019). This has now been approved at no cost to patients under the Affordable Care Act if they meet certain requirements. They must be between the ages of 50 and 80, have a history of heavy smoking, and currently smoke or have quit in the past 15 years (ODPHP, 2021). Although it is great for those who meet all of these requirements, it would be better if this could become standard for anyone who meets at least one of these requirements. Many patients can still get lung cancer even if they have never smoked a cigarette in their life. More translational research studies could prove the benefit and eventually change the criteria.

References

Copeland, A., Criswell, A., Ciupek, A., & King, J. C. (2019). Effectiveness of lung cancer screening implementation in the community setting in the united states. Journal of Oncology Practice, 15(7), e607–e615. https://doi.org/10.1200/jop.18.00788

Office of Disease Prevention and Health Promotion. (2021, March 15). Lung Cancer Screening: Questions for the doctor. My Health Finder. Retrieved July 22, 2021, from https://health.gov/myhealthfinder/topics/doctor-visits/talking-doctor/lung-cancer-screening-questions-doctor