1)You are admitting a 19-year-old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource. With intext citation and references
2) For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist patients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the patient. Support your response with evidence-based literature. With intext citation and references
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Introduction:
As a medical professor designing assignments and answering questions for medical college students, it is important to address various healthcare concerns and develop evidence-based solutions to promote the health and wellness of patients. This includes understanding the importance of cultural competency and identifying effective preventative measures to mitigate risk factors that contribute to health issues.
1) When admitting a 19-year-old female college student to the hospital for fevers, it is necessary to consider cultural competency when conducting the interview. Suppose the culture is unfamiliar to the healthcare provider. In that case, it is important to prepare by researching cultural norms, beliefs, and practices that may impact the patient’s healthcare experience. This may involve familiarizing oneself with the language, religious beliefs, and customs of the patient’s culture.
For instance, a Muslim patient may have specific dietary restrictions, and understanding these limitations would help in developing meal plans as part of their care. Various support systems are available in communities to support individuals from different cultures. Examples include community-based cultural organizations and culturally sensitive healthcare providers. If no support systems are available in the community, there are national resources, such as the National Center for Cultural Competence, that offer information and guidance to healthcare providers.
2) For middle-aged adults, physical exercise can help manage and prevent two top health concerns, including heart disease and type 2 diabetes. Heart disease is the leading cause of death in adults in the United States. Regular exercise can help reduce blood pressure, lower cholesterol levels, and control weight, all of which are risk factors for heart disease. Similarly, with type 2 diabetes, regular exercise helps regulate blood glucose levels and promotes healthy weight management.
As a nurse, one should promote healthcare and engage in conversations with patients about their engagement in physical activity, and provide advice on the type and amount of exercise to incorporate into their routine. One approach is to encourage patients to develop an exercise routine that is enjoyable and sustainable, incorporating a mix of aerobic and strength exercises. Research suggests incorporating physical activity into daily life, such as taking stairs, walking to destinations, or parking further away, can all contribute to a more active lifestyle. Research on the benefits of physical activity and patient-centered approaches to promoting exercise can provide the best evidence-based solutions.
Reference:
Christine M. Pellegrini, PhD, RN, Matthew Lee Smith, PhD, MPH, CHES, Sarah E. Fisher, MPH, Amira T. Akl, MPH, Shervin Assari, MD, MPH, Konstantinos D. Karras, MD, An Tong, MSN, RN, Mark Stoutenberg, PhD, FAHA, FACSM, Effective Strategies for Healthy Aging in Community Research (Enrich) Registry: Design and Methodology, BMC Public Health, vol. 21, no. 1, p. 126, 2021.