presentation

1.
Health Promotion Presentation (10% of Grade) (CC 1. a, b, c)
(Group Assignment video presentation) – Students will prepare and present an overview of a chosen special populations’ (child, adolescent, elderly) unique health promotion needs. The 10–15- minute presentation should include 5-6 slides, along with a title and a reference.

. Comprehensive Health Assessment (

% of grade) (CC2. a, b, c)

· After completing, a detailed health history and complete physical examination students will document the results of the health history and physical examination using APA The health history form and details on how to complete this activity are found on the Blackboard Course.

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Health Promotion: The Older Adult

Benjamin Leon School of Nursing, Miami Dade College

NUR3069: Advanced Health Assessment

Professor Espinosa

December 2, 2021

1

Assessing the Older Adult
Asses learning capacity and/ or signs of dementia
Perform and interpret a cognitive assessment in older adult for whom there are concerns regarding memory or functions.
Perform medication reconciliation
Assess and describe baseline and current functional abilities- strength and balance may be affected
Consider any physical limitations such as impaired hearing while teaching, confirm patient can hear or has adequate hearing aids
Assess any visual limitations, perform eye exams once a year and assess necessity of glasses.
Determine the patients learning style;  visual, auditory, reading and writing, and kinesthetic
 Barriers for performing self-care consist of misconceptions, lack of knowledge, age, race, ethnicity and socioeconomic status which affects overall treatment and compliance of the patient

Older Adult Findings

Problems:
Cognitive impairment
Falls
Low body mass
Dizziness
Impaired vision
Hearing presents numerous responsibilities.
Incontinence
Mnemonic DDRIPP: Delirium, Drug side effects, Retentions of feces, Restricted mobility, Infection of urine Inflammation, Polyurea Psychogenic.

Needs:
To understand and organize family meeting and community supports.
Caregiver support / advanced directives
To continue a healthy and safety lifestyle
Evidence based practice has shown to promote modified lifestyle choices like nutrition, strength training exercise to avoid any delay of the psychological reserves and the onset of frailty

One in three older adults falls each year and do not report to the health care provider. Falls are the most common cause of traumatic brain injuries in older adults and cause 90% of hip fractures (Szilagyi &Hoffman, 2021).

Outcome Identification
Teaching Objectives:
Help those with dementia remain active, and independent
Promote physical activity programs to reduce the risk of dementia, and arthritis pain
Increase and teach how to use other clinical preventive services like blood pressure checks.
Increase the number of people who speak to a health care provider about their worsening memory.
Provide CDC-recognized lifestyle change programs to Medicare beneficiaries through the National Diabetes Prevention Program (National DPP) to reduce the risk of type 2 diabetes.
Move Your Body – Encourage exercise because most adults stop exercising as they get older.
Engage Your Mind – The best way to keep a sharp mind is to keep your mind engaged, while interacting with others on an intellectual level.
Get Things Ready – Living will, Power of Attorney, dedicated Beneficiaries for any financial policies or accounts.
Age brings a higher risk of chronic diseases such as dementias, heart disease, type 2 diabetes, arthritis, and cancer. These are the nation’s leading drivers of illness, disability, deaths, and health care costs (Care cottages, 2017).

Health Promotion and Activities

Be active: Physical activity, such as walking, bicycling, and swimming, decreases arthritis pain and improves function, mood, and quality of life.

Better physical function reduces the risk of falls and fall-related injuries and helps older adults stay independent.

Schedule annual physicals: Conditions like diabetes and high blood pressure can go undetected. Regular physical examinations will enable your doctor to diagnose any problems early.

Eat a healthy diet: Diets rich in fruits, vegetables, and lean meats give the immune system a boost and protect against harmful viruses and bacteria that causes illnesses.

Take supplements as necessary: Some supplements doctors may recommend include calcium, vitamin D, vitamin B6, or vitamin B12.

Before taking a supplement, always ask your doctor if it’s safe.

Wash your hands frequently: wash your hands with warm soapy water often. Avoid touching your nose, face, and mouth with your hands.

Get Plenty of Rest: Sleep helps improve memory and concentration.

Conclusion

Health promotion programs for the older adult have to take in account limitations in their health and daily activities and require more individualized approaches.

Health promotion strategies for the older adult should maintain and increase functional capacity, maintain or improve self-care and stimulate their social network.

References
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2021). Bates’ Guide to Physical Examination and history taking (13th ed.). Wolters Kluwer.
Care cottages. (2017, January 6). 3 SMART GOALS FOR AGING ADULTS IN 2017. Unlimited Care Cottages. https://www.unlimitedcarecottages.com/blog/senior-living/goals-for-aging-adults/.
Centers for Disease Control and Prevention. (2020, September 21). Promoting health for older adults. Centers for Disease Control and Prevention. https://www.cdc.gov/chronicdisease/resources/publications/factsheets/promoting-health-for-older-adults.htm.
Golinowska, S., Groot, W., Baji, P., & Pavlova, M. (2016). Health promotion targeting older people. BMC health services research, 16 Suppl 5(Suppl 5), 345. https://doi.org/10.1186/s12913-016-1514-3

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Health Promotion: The Older Adult

Benjamin Leon School of Nursing, Miami Dade College

NUR3069: Advanced Health Assessment

Professor Espinosa

December 2, 2021

1

Assessing the Older Adult
Asses learning capacity and/ or signs of dementia
Perform and interpret a cognitive assessment in older adult for whom there are concerns regarding memory or functions.
Perform medication reconciliation
Assess and describe baseline and current functional abilities- strength and balance may be affected
Consider any physical limitations such as impaired hearing while teaching, confirm patient can hear or has adequate hearing aids
Assess any visual limitations, perform eye exams once a year and assess necessity of glasses.
Determine the patients learning style;  visual, auditory, reading and writing, and kinesthetic
 Barriers for performing self-care consist of misconceptions, lack of knowledge, age, race, ethnicity and socioeconomic status which affects overall treatment and compliance of the patient

Older Adult Findings

Problems:
Cognitive impairment
Falls
Low body mass
Dizziness
Impaired vision
Hearing presents numerous responsibilities.
Incontinence
Mnemonic DDRIPP: Delirium, Drug side effects, Retentions of feces, Restricted mobility, Infection of urine Inflammation, Polyurea Psychogenic.

Needs:
To understand and organize family meeting and community supports.
Caregiver support / advanced directives
To continue a healthy and safety lifestyle
Evidence based practice has shown to promote modified lifestyle choices like nutrition, strength training exercise to avoid any delay of the psychological reserves and the onset of frailty

One in three older adults falls each year and do not report to the health care provider. Falls are the most common cause of traumatic brain injuries in older adults and cause 90% of hip fractures (Szilagyi &Hoffman, 2021).

Outcome Identification
Teaching Objectives:
Help those with dementia remain active, and independent
Promote physical activity programs to reduce the risk of dementia, and arthritis pain
Increase and teach how to use other clinical preventive services like blood pressure checks.
Increase the number of people who speak to a health care provider about their worsening memory.
Provide CDC-recognized lifestyle change programs to Medicare beneficiaries through the National Diabetes Prevention Program (National DPP) to reduce the risk of type 2 diabetes.
Move Your Body – Encourage exercise because most adults stop exercising as they get older.
Engage Your Mind – The best way to keep a sharp mind is to keep your mind engaged, while interacting with others on an intellectual level.
Get Things Ready – Living will, Power of Attorney, dedicated Beneficiaries for any financial policies or accounts.
Age brings a higher risk of chronic diseases such as dementias, heart disease, type 2 diabetes, arthritis, and cancer. These are the nation’s leading drivers of illness, disability, deaths, and health care costs (Care cottages, 2017).

Health Promotion and Activities

Be active: Physical activity, such as walking, bicycling, and swimming, decreases arthritis pain and improves function, mood, and quality of life.

Better physical function reduces the risk of falls and fall-related injuries and helps older adults stay independent.

Schedule annual physicals: Conditions like diabetes and high blood pressure can go undetected. Regular physical examinations will enable your doctor to diagnose any problems early.

Eat a healthy diet: Diets rich in fruits, vegetables, and lean meats give the immune system a boost and protect against harmful viruses and bacteria that causes illnesses.

Take supplements as necessary: Some supplements doctors may recommend include calcium, vitamin D, vitamin B6, or vitamin B12.

Before taking a supplement, always ask your doctor if it’s safe.

Wash your hands frequently: wash your hands with warm soapy water often. Avoid touching your nose, face, and mouth with your hands.

Get Plenty of Rest: Sleep helps improve memory and concentration.

Conclusion

Health promotion programs for the older adult have to take in account limitations in their health and daily activities and require more individualized approaches.

Health promotion strategies for the older adult should maintain and increase functional capacity, maintain or improve self-care and stimulate their social network.

References
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2021). Bates’ Guide to Physical Examination and history taking (13th ed.). Wolters Kluwer.
Care cottages. (2017, January 6). 3 SMART GOALS FOR AGING ADULTS IN 2017. Unlimited Care Cottages. https://www.unlimitedcarecottages.com/blog/senior-living/goals-for-aging-adults/.
Centers for Disease Control and Prevention. (2020, September 21). Promoting health for older adults. Centers for Disease Control and Prevention. https://www.cdc.gov/chronicdisease/resources/publications/factsheets/promoting-health-for-older-adults.htm.
Golinowska, S., Groot, W., Baji, P., & Pavlova, M. (2016). Health promotion targeting older people. BMC health services research, 16 Suppl 5(Suppl 5), 345. https://doi.org/10.1186/s12913-016-1514-3

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Running head: HEALTH HISTORY 1

HEALTH HISTORY 9

Health History

Aimely Novales

Miami Dade College

Benjamin Leon School of Nursing

NUR 3039

Professor Ana Espinosa

October 28th, 2021

Patient Demographics

N.P is a 23-year-old, white, American-Hispanic male. The patient is 6 feet and one inch tall and weighs 206 pounds. The patient and his twin sister were born at 34 of gestation. He lives in Miami, Florida.

Chief Complaint / Present Illness

N.P came today complaining of neck pain. He states, “my neck has been aching a lot since I was involved in a car accident one week ago.” The patient said that the pain comes whenever he makes a “solid movement.” On a scale of 0-10, the patient states the pain is a 7. He said that he had taken Tylenol 500 mg to ease the pain, but it aids for a minimum period. Also, the patient does not complain of any other symptoms like headache, nausea, and vomiting. Other than the pain, the patient states he is overall “healthy.”

Past Medical History

Patient N.P has a history of chickenpox, common cold, and otitis media during childhood. The patient was hospitalized once due to ear tube surgery at three years of age. The patient denies any current illness. Patient N.P has regular checkups every year and is sexually active. In 2020 the patient got tested for STI and tested negative. The patient states he tested positive for COVID-19 for about two months and presented with symptoms of a common cold. He has already tested negative. The patient claims all his vaccines are up to date, included the Flu shot this year in September.

Current Health Status

The patient N.P states his general health status is outstanding other than the neck pain since the automobile accident. He practices soccer as a hobby. There are no physical signs of trauma. His vital signs are respiratory rate 17, heart rate 64, and blood pressure 134/82.

Genogram

Grandfather (71)

Heart & Renal Failure

Grandmother (65)

Sleep Apnea
Smoker

Grandfather (67)
Grandmother (81)
Heart Failure

Aunt (44)
Mother (47)
Obesity
Uncle (54)
Father (59)
Diabetes Mellitus type I

Son (35)

Son (23)
Twin
Son (16)
N.P (23)

Key:

Deceased male

Deceased female

Living female
Living male

Family History

The patient has a family history of Diabetes Mellitus type I from his father, who is 59 years old. The patient’s mother is 47 years old and agonizes from obesity. His grandmother is 65 years old and suffers from sleep apnea, and smokes three cigarettes a day. The patient’s grandfather is deceased at 71 years old. He suffered from renal failure and heart failure. In addition, patient N.P has three brothers with no medical illness, aged as follows: 35 years old, 16 years old, and a twin brother.

Personal & Social History

Patient N.P was born at Mount Sinai in Florida. Both his parents traveled from Cuba when they were younger. He is currently in a connection and lives with his parents. The patient works as a supervisor at Amazon. The patient is open to physical threats like falling, back issues, and objects falling onto him at his job. He finalized high school and is presently applying to Art School. The patient has regular stressors at work.

Review of Systems

Skin, Hair, and Nails: there is no bruising, rashes, or discolorations of the skin. No hair loss was reported nor noted. Color is consistent with ethnicity.

Head, Eyes, Ears, Nose, Throat (HEENT): the head is normocephalic with no lesions or masses noted. Pupils are equal, rounded, and reactant to light and accommodations. No visual changes were reported and deny the usage of glasses. No difficulties hearing and no complaint of tinnitus and vertigo. The tympanic membrane is intact upon assessment. The patient can differentiate between different smells. No septum deviation was noted nor runny nose. The tongue is pink and symmetrical with no signs of ulcerations. No swollen nodes or missing teeth. the patient states his gums “sometimes bleed when brushing teeth.”

Neck: no signs of lumps, goiter, or swollen glands. Pain with movement.

Breast and Axillae: no discharge or pain was recorded. No lumps noted.

Respiratory: lung sounds are clear bilateral. No complaint of shortness of breath.

Cardiovascular: S1 and S2 present, no S3 or S4. The patient denies chest pain, palpitations, or tightness.  

Peripheral vascular: denies numbness, tingling, and swelling. Upon assessment, extremities are warm to touch.

Gastrointestinal: patient denies a decrease in appetite, heartburn, nausea, and vomiting. Patient bowel movements are regular, with occasional diarrhea. The patient states no black stools.

Musculoskeletal: the patient denies pain in joints, swelling, or deformities. The patient reports neck pain since the automobile accident. He denies weakness, gait, or coordination problems.

Neurologic: He denies seizures, stroke, or tremors. The patient reports no mood swings or memory disorders.

Urinary: denies urgency, frequency, or incontinence. No report of discoloration or blood in the urine.

Male genital system: There are no lumps or lesions present. He denies pain and discharge. He reports no problem with ejaculation nor erection.

Nutritional Assessment

24-hour diet collection:

Breakfast: fasting

Snack: Ham and cheese sandwich with water

Lunch: steak, rice, and beans bowl with lettuce, tomatoes, and corn.

Snack: a
 cup of milk and some crackers

Dinner: HE has meat and whole wheat rice with baked potato, banana, and cucumber.

Patient N.T BMI is 29 for his weight and height. He is overweight, but he is an athletic fit. In addition, the patient has changed his diet to a more nutritious one high in fruits and fibers.

Nutritional Assessment

24-hour diet collection:

Breakfast: fasting

Snack: Ham and cheese sandwich with water

Lunch: steak, rice, and beans bowl with lettuce, tomatoes, and corn.

Snack: a
cup of milk and some crackers

Dinner: meat and whole wheat rice with baked potato, banana, and cucumber.

Patient N.T BMI is 29 for his weight and height he is overweight, but he is muscular fit. The patient has changed his diet to a more nutritious one high in fruits and fibers.

Risk Factors

Patient N.T has a family history of renal and cardiac failure. As well as diabetes mellitus type I. The patient has physical hazards at work due to location and work description. The patient stays away from the grandmother whenever she is smoking.

Health Promotion

The patient is to follow up with PCP regarding neck pain. The patient is adjusting the number of carbohydrates in his diet to keep sugar levels under control. The patient tries to stay active and not keep a sedentary lifestyle. The patient drinks 7 cups of water and denies the use of carbonated drinks. The patient denies the usage of tobacco, alcohol, and recreational/ illicit drugs. He wears the seatbelt regularly while inside a car. The patient does not exceed the exposure to the sun, and when he does, he wears sunblock and long sleeve clothing. The patient states he makes sure the smoke detectors at home are working.