NR 305 Week 2 Graded Discussion Topic: Assessment for Health Promotion
This week's graded topics relate to the following Course Outcomes
... [Show More] (COs).
• (CO #1) - Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1)
• (CO #2) - Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
• (CO #4) - Identify teaching/learning needs from the health history of an individual. (PO #2)
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to "keep her going." She lives 1 hour from campus and commutes each day, and often drinks diet cola to "stay awake." When asked what she does to relax and de-stress, Maria states she "doesn't even have time to think about that."
Maria's vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
1. What additional assessment data (subjective and/or objective) would you like to gather from Maria?
2. What actual health concerns and risk factors have you identified?
3. What are some opportunities to promote health and wellness for Maria?
4. Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)
ANSWER
When reviewing the case study regarding Maria and areas for her health promotion, I would like to ask Maria: What brought you to seek healthcare at the clinic? Do you have a good support system at home? What is your medical health history and family health history? Do you have any documented illnesses like hypertension or diabetes? With the information provided by the case study, I was able to determine that her blood pressure was elevated, that she seems stressed about her recent weight gain and stressed about her lack of time for herself. I see opportunities for Maria to improve her overall health by modifying her diet and caffeine intake, setting time aside to exercise and reaching out to her family for help around the house. Exercise that is set aside for Maria’s personal well being can be beneficial at reducing stress, lowering her risk for heart disease, and managing her weight (Weber and Kelley, 2018). After assessing Maria’s objective and subjective data, as well as validating the information, I have identified an Actual Nursing Diagnosis, Anxiety.
As cited by Byrd and Brook (2014) from The Corsini Encyclopedia of Psychology (Weiner, 2010), “Anxiety has been defined as “a future-oriented state characterized by a sense of apprehension and worry, and lack of control of one’s own affective response’.” Anxiety is a common and normal response to stressful situations, but for some, it can significantly affect their quality of life (Byrd and Brook, 2014). My nursing diagnosis for Maria is: Anxiety related to recent weight gain and increased personal demands as manifested by her statements about being afraid that her appearance and health will be compromised by her weight gain also her statement regarding not having time for herself to de-stress.
Weber & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Philadelphia, PA: Wolters Kluwer p. 26
Byrd, J. & Brook, R. (2014.). Anxiety in the “Age of Hypertension” p.1, 2. Retrieved from: https://web-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=1&sid=f7028bef-ebe6-4ab1-bf62-92f232a3c62a%40sdc-v-sessmgr05 [Show Less]