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Promoting Healthy Aging and Wellness for Older Adults: A Nurse Practitioner’s Perspective

C.B. is a student nurse practitioner completing her practicum in an office practice She assists the community with blood pressure and immunization clinics. The primary roles in this setting are education and health prevention.

C.B. has completed a population assessment and determined that the community is lacking in organized physical activities. The community that she is working in has a diverse age group between 56 and 87 years of age, with the majority of the residents being between 70 and 74 years of age. The members of the community are active in the health screenings and clinics and enjoy including the nursing staff in their activities.

Case questions: What are the recommendations according to the Centers for Disease Control and Prevention for older adults regarding the type, quantity, and quality of exercise per week?

Once you receive your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

Define and describe the primary goals of screening.
Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?
Identify potential barriers to patient teaching and how you would address these barriers.

 

 

Sample Answer

Promoting Healthy Aging and Wellness for Older Adults: A Nurse Practitioner’s Perspective

Recommendations for Exercise in Older Adults

According to the Centers for Disease Control and Prevention (CDC), older adults aged 65 years and older should aim for at least 150 minutes of moderate-intensity aerobic activity per week, along with muscle-strengthening activities on two or more days a week. Examples of aerobic activities include brisk walking, swimming, or cycling, while muscle-strengthening activities can involve using resistance bands, weights, or body-weight exercises. It is important for older adults to engage in exercises that improve balance and flexibility to reduce the risk of falls and maintain mobility.

Primary Goals of Screening

1. Early Detection: Screening aims to detect potential health issues or risk factors at an early stage when interventions are most effective.
2. Preventative Care: Screening helps identify individuals who may benefit from preventive measures such as vaccinations, lifestyle modifications, or screenings for chronic conditions.
3. Education and Empowerment: Screening provides an opportunity for healthcare providers to educate patients about their health status, risk factors, and strategies for disease prevention and management.
4. Continuity of Care: Screening facilitates ongoing monitoring of health indicators and promotes continuity of care by establishing a baseline for future assessments.

Relationship Between Economics and Nutrition

The relationship between economics and nutrition is complex, as socioeconomic factors can significantly impact an individual’s access to healthy food choices. For individuals of low socioeconomic status, it may be challenging to afford nutritious foods due to financial constraints. As a nurse practitioner, I would advise patients facing these challenges to:

– Emphasize cost-effective nutritious options such as whole grains, legumes, frozen fruits and vegetables, and lean proteins.
– Encourage meal planning and preparation at home to minimize reliance on expensive convenience foods.
– Educate on utilizing local food assistance programs, community resources, and food banks for support.
– Advocate for policies that address food insecurity and promote access to affordable, nutritious foods for all individuals.

Addressing Barriers to Patient Teaching

Potential barriers to patient teaching may include:

– Limited health literacy or language barriers that hinder understanding of medical information.
– Cultural beliefs or practices that conflict with recommended health behaviors.
– Time constraints during clinical visits that limit the depth of patient education.
To address these barriers, I would:
– Utilize plain language, visual aids, and teach-back methods to enhance patient comprehension.
– Respect cultural diversity and incorporate culturally competent approaches into patient education.
– Prioritize key teaching points based on patients’ needs and provide additional resources or follow-up sessions as needed.

In conclusion, as a student nurse practitioner working in a community focused on health prevention, it is essential to promote physical activity among older adults, prioritize screening for early detection and prevention of health issues, address the impact of socioeconomic factors on nutrition, and overcome barriers to patient teaching to empower individuals to make informed decisions about their health and well-being.

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