...Diabetes affects 2.5 million Hispanics, and Type 2 diabetes especially effects young Hispanics. Over the past ten years the rate of obesity among Hispanics has had a two-fold increase. (Health behaviors) My needs assessment was conducted using a survey instrument. The survey was given in February 2015 to undergraduate students at Montclair State University. I distributed surveys to fifteen Montclair State University undergraduate students of Hispanic origin. Individuals completed questionnaires assessing health behaviors (dietary fat, fruit/vegetable, dairy, and meat consumption), in addition to demographic and psychosocial measures. The average age of participants was 19 years old, 53% female and 47% male. This survey generated significant insight into the current and future fat behaviors of these graduate students. Findings indicated that there are high risk fat intake behaviors with Hispanic college students and suggest an intervention should conducted. a. Obesity rates are very high in many ethnic groups, especially Hispanics. The fastest growing group to enter college are Hispanics. 76.9% of Hispanics are overweight or obese in the United States. “Hispanics are less likely to seek evidence based treatment for weight loss ?(multiple health behaviors). The results of my survey showed that the major health issue with these participants is a high fat intake diet. Most participants had a very low green vegetable intake score and a high fat intake score. The survey indicated...
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... Family Structure and History: "Tom" is a 44 year old male with a 42 year old wife and a 13 year old son. Tom, his wife and son are Caucasian, with Tom's parents being first-generation German immigrants. His father died from a CVA at 72, and Tom's only sibling died in a motor vehicle accident. His mother-in-law died at age 64 from ovarian cancer. Tom's mother and father-in-law are retired and in overall good health. His brother-in-law works as a carpenter and has no pressing health concerns. Tom's mother lives in a ground floor apartment of their home, which is built on a farm owned by his father-in-law. There are thus 5 people in Tom's immediate family. Tom works as a welder in a local manufactory, and his wife is employed by the county as a court stenographer. Tom's 13 year old son attends public school in the 7th grade. Father (CVA) Mother Father-in-law Mother-in-law (Ov. CA) Brother (MVA) MAIN "Tom" Wife Brother-in-law AFIB, DM II Son "Tom" (Primary Patient) Health Issues Atrial Fibrillation, Diabetes Mellitus type 2, hypertension Health History 1) Past health...
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...Atrial Fibrillation Seminar Case 1 CC: “My chest seems to be pounding fast and it will not go away” HPI: MJ is a 66-year-old Caucasian male who presents to his PCP because of increased chest palpitations. The patient stated that he started feeling chest palpitations about 2 weeks ago. At first he barely noticed them and attributed them to some bad heartburn from eating too much spicy food. However, the palpitations have become progressively more prominent over the last 4-5 days and therefore the patient thought he should visit the doctor. The patient states that he has had no recent medication changes and has been on the same medication regimen for about 2-3 years now. The patient also stated that he felt similar chest pounding about 4 months ago but it seemed to go away really quick and decided he did not need to do anything about it. PMH: Meds: DM Type 2 ASA 81 mg PO daily HF (LVEF ~35%) (13 years ago) Furosemide 20 mg PO daily HTN KCL 10 mEq PO daily s/p MI (16 years ago) Lisinopril 20 mg PO daily Hypercholesterolemia Atorvastatin 40 mg PO daily Gout Metoprolol succinate XL 25 mg PO daily Glipizide XL 20 mg PO daily Allopurinol 150 mg PO daily Allergies: NKDA SH: Lives with wife; employed as a construction foreman; quit drinking alcohol after HF diagnosis; quit tobacco after MI; tries to stay active and does moderate exercise at the gym at least 3 times/week. Plays golf every other weekend. FH: non-contributory Today’s...
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...groups residing in the United States today, Hispanics have this highest number of residents with a sixty percent increase from 1990 to 2000. The United States is expected to populate up to 97 million Hispanics by the year 2050 which will account for approximately one-quarter of the U.S. population. (Escarce, 2002) The words Hispanic and Latino have a tendency to be used interchangeably here in the United States with regard to Spanish-speaking countries such as Mexico, Brazil and Costa Rica. The remainder of this paper will elaborate on the health promotion of the diverse population of Hispanics in the United States as well as the disparities and barriers associated with the health of these residents. Current Health Status of the Hispanic Population The health status of the Hispanic population, according to several government studies, is quite favorable in relation to other U.S. ethnic groups when looking at life expectancy and mortality rates. ("Hispanic Populations," 2014) In 2010, the life expectancy of a Hispanic female was 83.3 years old and a male, 78.5 years old. Compared to the white, non-Hispanic female of 76.4 years old and white male of 81.1 years old. There are approximately 3.2 million Hispanics living in the U.S with diabetes making diabetes the number one diagnosed...
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...Prevalence of Anxiety and Depression among Outpatients with Type 2 Diabetes in the Mexican Population ´ ´ ´ ´ Carlos Tovilla-Zarate1,5*, Isela Juarez-Rojop2, Yesenia Peralta Jimenez1, Marıa Antonia Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5 ´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me Abstract Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings:...
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...GE258 6/18/11 This is how I would explain hypertension to a 63-year-old man, whom I will call Mr. Smith. Mr. Smith, I hear that you have recently been diagnosed with hypertension and I would like to give you a little information and helpful tips to living with this disease. First off, hypertension is more commonly known as high blood pressure. It affects your cardiovascular system by forcing the blood against your artery walls throwing off your hearts natural homeostasis. More simply put, the smaller your arteries have become, due to fat and plaque buildup, the harder it is for your heart to push the blood through them, and the more tired it becomes. In order to correct your hearts natural homeostasis we need to work together to get your blood pressure back down to normal. Homeostasis refers to your body’s feedback system, or loop. First a stimulus disrupts your homeostasis, in this case it stimulates your heart and causes your blood pressure rise because of nerves, or exertion. In normal homeostasis, the baroreceptors in the blood vessels would send a message to your brain and your brain would tell your heart to relax. In your case, the high blood pressure isn’t a sudden onset, the plaques in your arteries have been building for years, and at this point your body’s homeostasis can’t not correct the issue on its own. This is where the medication will come into play, it will help fill that gap in the homeostasis process and your body will begin to return to back...
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...Is type 2 diabetes a public health emergency? Definition: The term ‘diabetes mellitus’ describes a metabolic disorder of multiple causes characterised by chronic hyperglycaemia with disturbances of carbohydrates , fats and protein metabolism which results in abnormal insulin secretion or/ and insulin action. The effects of diabetes mellitus include long-term damage dysfunction and failure of various organs (WHO). Types of diabetes: There are two main types of Diabetes: * Type 1diabetes (T1B) which usually develops in childhood and adolescence and the patients require lifelong insulin injections for survival. * Type 2 diabetes (T2B) usually occurs in adulthood and it is also related to obesity as well as lack of physical activity and unhealthy diets. This is the more common type of diabetes (representing 90% of diabetes cases worldwide) and treatment may involve lifestyle modifications and weight loss alone or oral medicines or even insulin injections. * Other categories of diabetes: There are other categories of diabetes which includes gestational diabetes (a state of hyperglycaemia which develops during pregnancy) and other rarer causes (genetic syndromes, acquired processes such as pancreatitis, cystic fibrosis or exposure to certain drugs, viruses and unknown causes). Burden of diabetes: * The development of diabetes is projected to reach pandemic proportions over the next 10-20 years. * International diabetes federation data showed in 2025 the number...
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...INTRODUCTION I. I was 24 years old and going in and out of the hospital for the past 4 months. My wife was already six months pregnant with our first child and during those four months I went to the hospital more times then I been in my entire life. This time I was going to get answers and finally find out what was wrong with me and why am I having chest pain and my heart rate speeds up randomly. The doctor came in and told me that I have high blood pressure and pre-diabetic. This surprise me I was big guy but as a soldier I exercised 5 days week. This taught me you cannot out exercise a poor diet and how being overweight can affect your body regardless of age. II. I am going to inform you about the effect of obesity and how proper nutrion and exceecise is the most of effective way to lose weight. III. According to a study done by Centers for Disease Control and Prevention there are over 50 million and 15 percent of children are obese and overweight. Why is this important you might ask? According to the CDCP the estimated annual medical cost of obesity in the U.S. was $147 billion in the U.S. IV. Obesity is second only to tobacco in the number of deaths it causes each year. Here are some of the diseases that have been linked to obesity: High Blood Pressure, high cholesterol, diabetes, heart disease, cancer, backpain. Athiritis, Gallbladder disease and gallstones BODY I. What is obese and how do you determine if you obese or not? Height Weight Range BMI...
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...PROMOTION NRS-429V-0506 February 13, 2015 HERITAGE ASSESSMENT America having been a very welcoming nation with welcoming people continues to experience immigrants from other parts of the world in search of better living standards and employment opportunities, hence has a high growing population with diverse cultures .This writer is a new immigrant from Africa .For that reason it is important for nurses to learn the health practices from different group of people to familiarize themselves with differing cultures. This writer did a health heritage assessment on two other different families .This heritage assessment tool was very helpful to this writer in getting the important information from them that relates to their customs and beliefs. Amongst Americans, health maintenance entails a set of programs aimed at preventing diseases , maintain function and promote health .Health maintenance is the center of nursing care.(THE FREE DICTIONARY, 2003-2015).Health maintenance programs can be grouped as per ages .Where ,from birth-17years there is a scheduled program of immunizations. There are also screens for chlamydia, yearly for sexually active women starting from 15,HIV screening for ages 15-85 which is voluntary .Health education to avoid alcohol misuse and prevent use of tobacco .For 18-49,they are screened for diabetes ,risk for ,chlamydia in women, pap smear, a set of immunizations . From 50-74 years ,screens are done for hepatitis c, diabetes, colorectal cancer ,assessment...
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...Diabetes Case Study Granna Clay Diabetes Case Study Charles, age 45, has recently visited his physician with complaints of weight loss, excessive thirst and frequent urination. Review of his record indicates a new diagnosis of diabetes. Charles, a busy CEO, is recently divorced and now living on his own. Due to his busy schedule, he feels he does not have time to worry about himself. Our goal is to discover what Charles already knows about diabetes, dispel any myths or misconceptions he may have, answer questions and help him develop a plan to manage his disease. Education regarding lifestyle changes and proper diabetes management is paramount if Charles is to continue to lead a healthy life. Evaluating the psyco-social aspects of Charles’ life must be done to ensure long-term success in managing his chronic disease. Overview of Diabetes in the United States According to the American Diabetes Association (2008), diabetes rates increased in the United States 13.5% from 2005-2007. Charles is not alone, nearly 8% of the total US population affected with the disease. This number is expected to rise to 12% by 2050 (ADA, 2008). According to the ADA (2008), this increase is attributed to increasing obesity, improved detection, decreased overall mortality, and an increase in the minority population in whom the prevalence of diabetes is increasing. The impact on healthcare expenditures and the overall economic cost of diabetes care is staggering. The ADA...
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...Individual Wellness Change Project The client I selected for this project is a 70 year old female. This client resides in a household with her husband, and adult son. Retirement has not equated with rest and relaxation for my client as she also takes care of two of her adult brothers in poor health. Three granddaughters have been the source of joy for her as they’ve grown from precious infants to teenagers. My client also assumes the role of family matriarch for her other nine siblings. With many demands for time and attention, I predicted the needs assessments to direct us towards stress management. The results we received sent out project in another direction. With my initial prediction of the focus needed being on stress management, I had my client complete the Holmes and Rahe Stress Scale (Holmes and Rahe, n.d.) first. In spite of numerous responsibilities and various family members always seeking advice, her score was only a 16. Scores below 150 represent only a slight risk of illness due to stress. The one area where stress does affect my client is in her sleeping habits. Many nights she experiences insomnia while contemplating current family situations, and consequentially suffers from fatigue. My client’s concern over taking care of everyone else leaves little time for her to focus on herself. The remainder of our assessments helped to point out what she already knew about her nutrition and physical activity levels. The results of the LiveWell assessment...
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...Final Exam: Endocrine system case studies UNIT XI: Endocrine Function, Metabolism, and Nutrition Case Studies Case 1 B.J. is a 54-year-old attorney who for several months has been experiencing generalized headaches that have responded poorly to nonnarcotic analgesics. He is also experiencing visual disturbances including blurred vision and double vision. On questioning, B.J. reports that he has gained 20 pounds over 2 years despite no change in activity or eating patterns. About his weight gain, B.J. jokes, “I guess it’s all in my feet. I had to buy new shoes, and my shoe size went from a size 10 to a size 12.” It was determined that B.J. should have a CT scan of his head to assess for a pituitary adenoma resulting in the hypersecretion of growth hormone. Discussion Questions 1. What information from the above scenario would support this possible etiology? The headaches is a possible symptom leading to the pituitary adenoma as this could be putting intracranial pressure on the brain. With also what it appears to be edema in the limbs is another indicator of the hypersecretion. With the use of nonnarcotic analgesics indicates that it has not improved the condition. 2. What other signs or symptoms might be apparent if B.J. does indeed have a pituitary adenoma? Another sign that could indicate the pituitary adenoma is the blurred and double vision. This means that it could possibly be compression on the optic nerve that is causing the altered vision. There could...
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...Diabetes Working Group White Paper Avalere Health LLC on behalf of the Diabetes Working Group January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................
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...Name: Student Number: UNIVERSITY OF TORONTO Faculty of Arts and Sciences APRIL 2011 EXAMINATIONS LMP301H1S DURATION: 2 HOURS Examination Aids: Non-programmable calculators are allowed Version A SECTION I – MULTIPLE CHOICE (88 marks) The 44 questions are of equal value (2 marks). Select the most correct answer for each question. 1. Which of the following statements is TRUE regarding lipid biomarkers? i. ii. iii. iv. A. B. C. D. E. Total Cholesterol to HDL-C ratio is more sensitive for heart disease than cholesterol alone Elevated triglycerides are a defining criterion in metabolic syndrome Increase in lipoprotein(a) reflects accumulation of the small-dense form of LDL particles Measurement of Apo-A1 levels is useful in patients with metabolic syndrome at high risk i and ii i and iii iii and iv iv only All of the above (i, ii, iii and iv) 2. Which of the following statements is FALSE regarding regulation of body water? A. B. C. D. E. Receptors in the hypothalamus respond to increased osmolality and stimulate thirst As the effective circulating volume increases, aldosterone secretion is suppressed Congestive heart failure may arise from volume overload of the circulatory system Anti-diuretic hormone stimulates the Na+/K+ transporter to retain sodium and water Angiotensin II stimulates vasoconstriction and sodium resorption in the kidney Page 1 of 15 Name: Student Number: 3. Given the following test results: sodium potassium chloride bicarbonate glucose...
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...Diabetes transition Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. Transition in healthcare is only one part of the evolution from dependent child to independent adult (David, 2001). Submitted by Ruth Gordon, Ruth Gordon Associates Ltd to NHS Diabetes. Supporting, Improving, Caring August 2012 Acknowledgements This project was funded by NHS Diabetes and supported by Gillian Johnson, North East Regional Programme Manager. The expert panel was made up of a group of clinicians and others who provided information, commented on the process and contributed to the views included in this final report. Others have influenced the later stages of the work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice...
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