Health Promotion

wellness forwarding propose for Afri ordure American Adults at find for coronary thrombosis thrombosis thrombosis amount of money sickness confederacy Nursing NUR 3634 Abstract Coronary nitty-gritty demandion reachs a disproportional amount of African Americans (CDC, 2010a), yet at that place atomic number 18 modifiable risk factors that can fasten the risk of this infirmity. These modifiable risk factors complicate high relationship drive and high cholesterin.This wellness advancement innovation involves a connection-based strategy that targets African Americans by offering firsthand and unoriginal streak measures directly accessible at topical anesthetic confederacy churches in Titusville, FL to decrease the prevalence and incidence of coronary face malady in the African American community. wellness Promotion computer programme for African American Adults at Risk for Coronary Heart unwellnessiness Part I Community DiagnosisRisk of complications , including death, of hypertension and hyperlipidemia among African American adults cerebrate to myopic eating habits, poor autochthonic saloon measures, and poor medical specialty compliance as evidenced by data that show prevalence of cardiovascular indisposition among African Americans to be 44. 6 per centum for males and 46. 9 percentage for females (FDH, 2008), and wellnessy People 2010 National wellness object 12-9, which is to reduce the proportion of adults with high line coerce (USDHHS, 2000), and National wellness prey 12-14, which is to reduce the proportion of adults with high come declivity cholesterol levels (USDHHS, 2000).Part II canvas of Literature What is Coronary Heart Disease and how does snag press and cholesterol affect it? check to the CDC (2010b), cardiovascular malady is the direct ca accustom of death for both manpower and women (34. 3 percent of all deaths), and is estimated to affect e realwhere 81 million mountain in the United St ates (AHA, 2010). Cardiovascular disorder includes several conditions (AHA, 2010) high channel pressure, coronary brass disease, stroke, and punk failure. Coronary heart disease is the most common type of cardiovascular disease and accounts for the majority of these deaths (AHA, 2010).Coronary heart disease, also known as coronary artery disease, refers to a condition in which atherosclerotic plaque collects in the arteries and obstructs the bl residue of relationship to the myocardium (Lewis, Heitkemper, Dirkson, OBrien, & Bucher, 2007). The plaques consist of deposits of cholesterol and lipids, which progressively decrease the diameter of the blood vessel though which blood flows. The direction of a constantly elevated blood pressure increases the rate of atherosclerotic victimisation (Lewis, Heitkemper, Dirkson, OBrien, & Bucher, 2007). Coronary heart disease is associated with multiple risk factors, some of which be modifiable (e. . , high cholesterol, high blood press ure, diabetes, smoking, and viandsary factors) and other risk factors that argon non modifiable (e. g. , era, sex, heredity) (CDC 2010b Lewis, Heitkemper, Dirkson, OBrien, & Bucher, 2007). wherefore is high cholesterol & high blood pressure a problem for African American Adults? Data from the CDC (2010a) suggest that although African Americans argon less(prenominal) likely to be diagnosed with coronary heart disease, which is due to disparities in wellness shell egress access and delivery, they atomic number 18 much than(prenominal)(prenominal) likely to die from it. In fact, the prevalence of cardiovascular disease among African Americans is 44. percent for males and 46. 9 percent for females (FDH, 2008). associate to this atomic number 18 estimates that African American males and females over the age of 20 are much(prenominal) likely to obligate hypertension than non-Hispanic whites (CDC, 2010a). Although piece of African American adults over the age of 20 with high cholesterol is less than non-Hispanic whites, high cholesterol is still a problem for approximately 10 percent of African American females and 13 percent of males (CDC, 2010a). menstruation Nursing Interventions Primary bar measures generally consist of persevering bringing up, behavioural counseling, and support.Secondary obstruction measures involve blood pressure screening, blood lipid screening, prescription and funding of medication regimes (Taylor & W by rights, 2005), and referrals. Successful and Unsuccessful Interventions Current interventions combined with programs such as the racial and Ethnic Approaches to Community Health (REACH) 2010, which addresses under fared communities (CDC, 2010c), the dedicate project (Williamson & Kautz, 2009), which promotes wellness by faith-based activities, and community health advisor programs are interventions that are working (Cornell et al. 2009 Plescia, Herrick, & Chavis, 2008 McKinley et al. , 2009 Williamson & Kautz, 200 9). Studies suggest that some interventions merely dont always secure the int block offed tabucomes due to disparities in link up to access and delivery of health trouble (Niska & Han, 2009 Ratanawongsa, Fisher, Couper, Van Hoewyk, & Powe, 2010). Part III Plan Title Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease in Titusville, FL.Short term address Before and later sunlight church serve at five, mainly African American churches, inform nurses get out produce 10 somebodys on cardinal causes of high blood pressure and common chord causes of high cholesterol, and screen those 10 individuals for high blood pressure. Three Measurable, fourth dimension Specific Learner Objectives 1. By the end of one, 20-minute statement session, ramifyicipants impart list terce ways to decrease coronary heart disease. 2. By the end of one, 20-minute teaching session, participants will list tercet health promoting behaviors to reduce high blood pr essure. . By the end of one, 20-minute teaching session, participants will list three health promoting behaviors to decrease elevated cholesterol levels. These goals and objectives specifically target African Americans emotional state sentence in Titusville. Short, concise preceptal sessions will precede and follow church services at five predominantly African American churches in Titusville the first Sunday of each month for a year. A stand, consisting of information in the form of posters and pamphlets for participants to push back home, will be set up.The booth will be staffed by both nurse volunteers, who will provide prefatory information to participants, as well as assess participants blood pressures. The objectives will be measured and evaluated by word of mouth through with(predicate) question and dress sessions at the end a 20-minute session. These objectives are level-headed and feasible because the beat frame suggested is large to engage the participant withou t overwhelming them with in like manner much information, yet nurses will be available for questions once a month (for a year) should the need arise.Health forwardingWhat is health promotion and why is it outstanding in our world forthwith? I am sure it seems the answer is non very complicated only if is it as simple as promoting health? According to the World Health judicature (WHO), Health promotion is the exe lose fishe of enable mess to increase reserve over, and to remedy, their health (World, 2013). This is a change from the past in that health care suppliers are encouraging our patients to load wipe out control of their own health tour channelise and educating them in he right direction.Health has been shown not to Just be muster out from disease but also encompasses physical, mental, and friendly eudaimonia (WHO 2013). The whole purpose of promoting individual health is to give the communities the ability to determine they have control over their health jut and help them to stay out of the hospitals, which is what they prefer. This takes cooperation by the patient and the health care provider. It is commanding that a nurse stay up to period with a continuous ever-changing healthcare pattern, since they have a man-sized mathematical function in health promotion.A monolithic part of health promotion is related to nurses educating the communities, oddly since nurses are becoming to a greater extent and much(prenominal) involved in the communities. As time advances, researchers are predicting nurses will continue more out of the hospital and into the communities. Now, more than ever, nurses are challenged to improve patient outcomes by assessing and creating education plans that will increase the patients sense and arrangement of their disease process and management. afterwards very thorough assessments and the need for education is completed, nurses essential create plan for implementing a strategy to reach the audience targeted.It states in the term Public Health eatable steering on stripe, the three divergent levels of death penalty manners utilized today. The first method is on an individual basis focused and promotes health outcomes through educating, changes to a firm life-style, and individual behaviors. The types of interventions are carried out through one-on-one educational discussions and ring conversations. The next implementation spirit level is more community-focused. These interventions put the spotlight on the need of modification.The end method to be set in the article include system-focused interventions. These interventions crusade the focus from the individual to the facilities that serve individuals and the laws and policies ring the facility. For congressman, improvements in school lunches to require them healthier (University, 2012). If the healthcare providers can use the crew of the three methods listed above with the care for process it can to improve outcomes of the patients and community in all areas of nursing. Health promotion is cleave by healthcare into three levels primary, secondary winding, and ertiary.Primary preventions main concept is to prevent the disease from occurring and retentivity the public healthy. A rival of examples of how this is courteous are through education, standard exams, and immunizations. A few years agone the diary of the American Academy of shelter Practitioners print an article, Reducing heart disease through the vegetarian diet using primary prevention, and it discusses how if a patient leads a vegan lifestyle this could cut out a lap of the elegant foods and help the patient to improve degenerative heart conditions.If one is timid merely how to ursue a vegetarian diet having a reference work with a dietitian is an special option. coterminous on the pyramid of health is secondary prevention. This layer of prevention focuses on afterwards an injury or distemper has been diagnos ed. The goal is to prevent progression or wearisome down the disease. Using the example of heart disease above, if providers are teaching regarding secondary prevention it would include line of smoking, diet and exercise, and keeping a healthy weight and blood pressure (Mosca, i. e. 2010). These goals are more patient specific than primary prevention.The last tier includes ordinal prevention which focuses on helping the public prevent a further decline in health while maximizing their musical note of life after being diagnosed with a chronic condition. In a young article, The personal effects of Cardiac Tertiary Prevention class after Coronary artery ringway Graft Surgery on Health and Quality of Life, it discusses cardiac renewal as a possibility to travel by into the tertiary level. This falls into the family line in that it helps be restored patients well-being while lessen the crucifixion and complications.This does take even more liaison and cooperation of the pa tient. In conclusion, there are umteen things healthcare providers can exploit to do in order to educate the public. However, utilizing the three tiers of health promotion (primary, secondary, tertiary) shows a well-organized proficiency that can break down unlike levels of health. Every patient falls into at least one category on the continuum, so this is also reservation it easier for the provider when educating in that they can create the patients care plan in a more organized way.This includes tilizing the nursing process, faultfinding thinking, and curative communication allowing nurses to identify where the patient fits into the wellness continuum and helping them reach their highest level of wellbeing.Health promotionWhat is health promotion and why is it important in our world today? I am sure it seems the answer is not very complicated but is it as simple as promoting health? According to the World Health Organization (WHO), Health promotion is the process of enabling people to increase control over, and to improve, their health (World, 2013). This is a change from the past in that healthcare providers are encouraging our patients to take control of their own health while guiding and educating them in he right direction.Health has been shown not to Just be free from disease but also encompasses physical, mental, and social well-being (WHO 2013). The whole purpose of promoting individual health is to give the communities the ability to feel they have control over their health plan and help them to stay out of the hospitals, which is what they prefer. This takes cooperation by the patient and the healthcare provider. It is imperative that a nurse stay up to date with a continuous changing healthcare pattern, since they have a big role in health promotion.A big part of health promotion is related to nurses educating the communities, especially since nurses are becoming more and more involved in the communities. As time advances, researchers are pre dicting nurses will move more out of the hospital and into the communities. Now, more than ever, nurses are challenged to improve patient outcomes by assessing and creating education plans that will increase the patients awareness and understanding of their disease process and management. After very thorough assessments and the need for education is completed, nurses must create plan for implementing a strategy to reach the audience targeted.It states in the article Public Health Nutrition Focus on Prevention, the three different levels of implementation methods utilized today. The first method is individually focused and promotes health outcomes through educating, changes to a healthy lifestyle, and individual behaviors. The types of interventions are carried out through one-on-one educational discussions and telephone conversations. The next implementation tier is more community-focused. These interventions put the spotlight on the needs of modification.The last method to be ident ified in the article include system-focused interventions. These interventions shift the focus from the individual to the facilities that serve individuals and the laws and policies surrounding the facility. For example, improvements in school lunches to make them healthier (University, 2012). If the healthcare providers can use the combination of the three methods listed above with the nursing process it can to improve outcomes of the patients and community in all areas of nursing. Health promotion is split by healthcare into three levels primary, secondary, and ertiary.Primary preventions main concept is to prevent the disease from occurring and keeping the public healthy. A couple of examples of how this is accomplished are through education, regular exams, and immunizations. A few years ago the Journal of the American Academy of Nurse Practitioners published an article, Reducing heart disease through the vegetarian diet using primary prevention, and it discusses how if a patient leads a vegan lifestyle this could cut out a lot of the processed foods and help the patient to improve chronic heart conditions.If one is unsure exactly how to ursue a vegetarian diet having a consultation with a dietitian is an additional option. Next on the pyramid of health is secondary prevention. This layer of prevention focuses on after an injury or illness has been diagnosed. The goal is to prevent progression or slow down the disease. Using the example of heart disease above, if providers are teaching regarding secondary prevention it would include termination of smoking, diet and exercise, and keeping a healthy weight and blood pressure (Mosca, i. e. 2010). These goals are more patient specific than primary prevention.The last tier includes tertiary prevention which focuses on helping the public prevent a further decline in health while maximizing their quality of life after being diagnosed with a chronic condition. In a recent article, The Effects of Cardiac Tertiary Pre vention Program after Coronary Artery Bypass Graft Surgery on Health and Quality of Life, it discusses cardiac rehabilitation as a possibility to fall into the tertiary level. This falls into the category in that it helps restore patients well-being while decreasing the suffering and complications.This does take even more participation and cooperation of the patient. In conclusion, there are many things healthcare providers can attempt to do in order to educate the public. However, utilizing the three tiers of health promotion (primary, secondary, tertiary) shows a well-organized technique that can break down different levels of health. Every patient falls into at least one category on the continuum, so this is also making it easier for the provider when educating in that they can customize the patients care plan in a more organized way.This includes tilizing the nursing process, critical thinking, and therapeutic communication allowing nurses to identify where the patient fits into the wellness continuum and helping them reach their highest level of wellbeing.