...Today’s session is on obesity issues. I will explain the causes, mechanisms, and treatments involved with obesity. After my explanation I will open the floor to questions and I will try to answer them to the best of my knowledge. Obesity rates are up in most of the world. In Ohio in 2010 the obesity rate was 29.2%. It jumped to 30.1% in 2012. That is .9% increase in two years. According to the Center for Disease Control, more than 1/3 or 34.9% of adults are obese. Obesity occurs more often in non-Hispanic blacks with an obesity rate of 47.8%. Genetics do play a role in obesity. There are at least 100 human chromosome loci that are linked to obesity. Although genetics is part of the reason for obesity, it is certainly not the entire reason. Exercise and diet are crucial in the fight against obesity. There are three ways to burn excess energy. The first is basal metabolic rate, the next is diet-induced thermogenesis, and the last is NEAT (non-exercise activity thermo-genesis). NEAT is “generated by activities such as fidgeting and the maintenance of posture and muscle-tone”. Pinel (2011) Additionally, another factor that adds to the obesity epidemic is that manufacturers substitute flavors such as salt, sugar, and fats, for nutrients. The company would rather make money off of pleasing the taste buds instead of keeping the product at its healthiest, optimal level. Junk food does not have to be completely cut out but it does need to be eaten in moderation. Obesity is a contributing...
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...Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Yaounde Ross University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP June 4, 2012 Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Managing chronic illnesses like diabetes is becoming progressively essential in high-risk groups. The concept of managing diabetes in persons 65 and older, carry much responsibility by those who provide care and those receiving care. With marvel surrounding the first set of baby boomers who turned age 65 in January of 2011; it became evident that this country would embark upon its greatest challenge yet in managing the care of older adults. With this in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept...
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...semi-warm morning about 11:30 in the morning my grandpa and I were getting everything ready to go deer hunting. I had to get extra ready because since I am a diabetic I have to get all my emergency gear ready just incase I went into diabetic shock or passed out from low or high blood sugar. After we both got everything ready we waited for my senile uncle and my other uncle to come with us. It took them about two hours to get their equipment ready and we left around 2:00 in the afternoon. While we were on the way out we were seeing big bucks running around chasing the doe’s because it was in the middle of rutting season so the bucks were acting stupid. When we got out there there was nothing out in the field where we set up so we kept going in. There was one buck, but he was small that we scared over the hill, but it wasn’t a problem because he will come back. We waited about four hours later for deer to start coming back into where we were at and while we were waiting I had jacked a shell in the barrel and put the gun on safety. Everybody except me were sitting in the truck and I was outside right next to the truck, I looked at my phone and the time said 6:00 PM so right then and there I knew it was...
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...happy if she would not be a size 16 in August, but approaching her goal gradually.) She is 14 stone (approx 88 kg) and 1.48 cm tall, BMI 40.2. She is diabetic, and has to eat regularly. She is a single mum with 2 teenage sons and often feels tired and stressed. She is a bit worried about the family’s finances. She works in a voluntary organisation too which she find very inspiring. INTRODUCTION and INITIAL CONSULTATION At the initial consultation I used my notation form and gathered as much relevant information as possible about Miss W. I examined her medical, family and life history, including her childhood and relationship history. I already had a good relationship with the client because she is a fellow student at the Chrysalis course. At the initial consultation I tried to deepen this good rapport by giving my full attention to her and practising active listening. I used positive sentences that were empowering to help Miss W to feel at ease. We ascertained her goal: she would like to lose weight gradually and be a size 16 instead of being a size 20. I explained her that the the safe weekly rate of weight loss is between 0.5 kg and 1 kg. That’s between around 1 lb and 2 lb a week. We assessed that for a safe and healthy weight loss she will need at least 6 month (approx 20 kg). While exploring her childhood history I focused on her relationship with food and dieting. During her childhood the family had just 2 meals per day. They ate a proper breakfast and throughout...
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...medicine such as immunizations, dental cleanings and monitoring, and check-ups for my children at the pediatrician. My husband also has to have yearly physicals related to his job. We are very blessed to have access to healthcare in the ways that we do. We still have to pay our copays and expensive prescription deductibles, but am very happy with the insurance we have. I think healthcare is a fundamental right. Stating that healthcare is a privilege earned is absolutely ridiculous! My father has worked at a sawmill for at least 40 years. His boss chooses not to carry insurance and never has. My mother had insurance for a while when she worked at a local factory which laid off employees three years ago. Sine then, she has not been able to find steady employment. I can tell you that my family is one of the hardest working families there is. My father has COPD, has no insurance and cannot afford to pay for his much needed inhaled corticosteroids that he needs. My mother is a diabetic who takes insulin daily, What medications or doctor visits they partake in, is strictly on their own. How is this right? I understand that we have degenerates who work the system to their advantage and do nothing and free healthcare, but why my mom and dad? This seems so unfair to me. Me and my sister have talked to their physicians and social workers at our jobs to find holes in the system that they can get a break from. There are a few, but they are minute. “Healthcare is influenced more and more...
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...Jennifer Tarnawski Mr.Hadley ENGL 101 8 June 2015 Losing Her No one told me how hard it would be, having to lose a parent. Trying to prepare myself after I lost my dad, telling myself that my mom would be next but not until way down the round. I lost her only eight years later. My mom was only 56, my sister was 26, and I had just turned 37. She had long dark brown hair that she had styled in a mullet. Her eyes were green and she wore glasses. When she smiled she lit up the room. She had a tender but stern voice. She was a larger woman, but always dressed nicely and loved to wear jewelry. She had to wear earrings every day and they were pierced with five holes in one ear and six holes in the other. Makeup was not her thing and wore very little of it. She had tattoos, my favorite was the tiger head with roses below it that was on her shoulder. She was diagnosed with Stage II diabetes after she had my sister. Managing it was simple for her through diet and later medications until we lost my dad. After we had lost my dad, my mom became depressed. She started to hide her feelings from us girls and tried to make herself feel better by buying new things and getting rid of some of the old things around the house. Until she got sick. She had been placed on insulin and could no longer manage her diabetes through oral medication. This was a hard transition for her. She had always been able to eat what she wanted...
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...GNT1: Task 1 The immediate key assessments made that would help assess Mrs. Baker’s homeostasis, oxygenation, and level of pain would first be an initial visual assessment. This assessment should take no more than a quick 10 second initial visual assessment upon seeing the patient when the patient first arrives into the ER. This is a quick head to toe visual assessment. Head: does the patient have any noticeable signs of trauma to it, what size and shape are the patient’s pupils, is her face symmetrical, is her tongue dry or moist, is she breathing normal through her nose and mouth? Chest: does the patient have any noticeable signs of trauma to the chest, are her shoulders symmetrical, is she breathing normal or rapidly, is she breathing with her chest or abdomen? Extremities: what is the color of her extremities, are they pink, pale, cyanotic, or blue; are there any noticeable signs of trauma to her extremities; is her skin moist or dry; what is the color of her nail beds? Abdomen: is there any noticeable sign of trauma to her abdomen, is she using her abdominal muscles to breathe, is her stomach flat or round? General: she is an elderly female, is she showing signs of pain or guarding any particular part of her body? The next part of the assessment parallels the Visual Assessment; this would be an assessment of what the RN hears from the patient from head to toe upon first initial arrival to the ER. Head: what does the patient’s breathing sound like, can the...
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...environmental triggers are involved. “The word "diabetes" is borrowed from the Greek word meaning "a siphon." The 2nd-century A.D. Greek physician, Aretus the Cappadocian, named the condition "diabetes." He explained that patients with it had polyuria and "passed water like a siphon (www.medterms.com)." Type 1 diabetes is when no insulin is produced at all because the insulin-producing cells in the pancreas have been destroyed. Currently scientist and researchers do not know why these cells have been damaged the most likely cause is the body having an abnormal reaction to the cells. There is nothing that you can do to prevent Type 1 diabetes. This type of diabetes is always treated with insulin injections. Whereas type 2 can be controlled with oral medications, diet or exercise. When your child or someone you love and care about is diagnosed as Type 1 diabetic your whole world is turned upside down. I know my son was diagnosed right after his fifth birthday. There is no family history of diabetes; the doctor informed me it was auto immune. I was overwhelmed when I heard those words he was only five how did this happen I ate healthy, was not overweight and was not exposed to chemicals before during or after my pregnancy. How did my child get this disease, was a question that has still not been answered and he is fifteen now. Just learning to take care of him...
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...Beatles and the Grateful Dead. Rock and Roll on Drugs Drug use and music have been intertwined for many years. This use whether illegal or legal has had both positive and negative impacts on the artists and their success. While the creative juices may be flowing while under the influence of drugs the final outcome (maybe years down the road) almost always ends on a negative note. Even dating back to 1830 when Hector Berlioz wrote his most famous work “Symphonie Fantastique” he detailed the effects of an opium induced dream, specifically in the fourth movement. In an interview on June 16, 1967, Paul McCartney was asked if he ever took drugs, he said “After I took it (LSD), it opened my eyes. We only use one-tenth of our brain. Just think what we could accomplish if we could only tap that hidden part. It would mean a whole new world." (Spangler, 1967) During the late 1960s there was a counterculture, teens of the day were disillusioned with society, the Vietnam War and the assassinations of John F Kennedy, Martin Luther King, and Robert F Kennedy. To deal with these realities they turned to drugs that got progressively stronger. This was all...
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...their healthy lifestyle. Barriers are the obstacles that can interfere with a person’s self-care agenda. Barriers are not the same for everyone. If asked, I could construct a list of actual barrier categories, in a New York minute, which can include physical, cognitive, or even economic barriers. (Pender et al., 2011). The list can be broken down into sub categories, which would include, but not be limited to, age, mental state, finances, confidence level, support, and motivation. Barriers can impact how well, or not so well, a person engages in self-care activities. Older adults face many potential barriers including; loneliness, depression, mobility issues, and hearing/vision difficulties (Pender et al., 2011). As a nurse I must be receptive to a patient’s individual needs, abilities, and level of functioning. This will allow me to promote self-care for each individual patient. This means I must work with individuals and communities to eliminate self-care barriers. From experience, this population needs to be informed on how to make knowledgeable decisions on maintaining their independent lifestyle. I begin with tailoring the way I speak to them, volume and rate in particular. My initial goal in patient care is to earn their trust by listening to their concerns, their fears, and their stories. Once I have...
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...Ward (2013), "When nurses function as...
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...2014). In other communities, residents are urged to avoid wasting water. The Waterboards.ca.gov (2014) website has a list of emergency water conservation regulations stating that every citizen is prohibited to use potable water to wash sidewalks and driveway, to use hoses with no shut off nozzles to wash their cars, water the lawn more than two times a week, and reduce the amount of watering time for each station using an automatic sprinkler system. Residents could face potential fines arising from violations of the prohibited water uses. Being required to pay these fines, residents who would normally reinvest these funds into the community, may have to spend their income paying such fines and unable to support the economics at a local level. When local level economics struggle, the problem can quickly build to a national level. It’s not just in finances...
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...Collegiality has proven to be a key aspect of nursing as well. I experienced this through the mega simulation that I was able to participate in this semester which focused on interprofessional education. This simulation combined nursing students with students in areas such as occupational therapy, athletic training, social work, and health administration. By working together as a team throughout this simulation, we were able to implement interventions related to the case of a young, pre-diabetic college student in order to provide her with optimal healthcare. A few of the key interventions that took place were assessments performed by the nursing students within our scope of practice, creation of a care plan and healthcare goals, involvement from social work students to assist the patient in obtaining a...
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...to stop cancer cells from mutating or block tumors from growing. In our body we have 60,000 miles worth of blood vessels, in which they can adapt to any environment they are in. Blood vessels don’t grow in adults except for when they line the uterus, create the placenta when a women is pregnant, or after an injury under the scab. Cancers start out as microscopic tumors, it is said that 40% of women have microscopic cancers in the breast. These microscopic cancers wont become dangerous without a blood supply....
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...emergency condition regardless of insurance status or the ability to pay. The law states the patient may not be turned away and care cannot be delayed due to pay concerns. EMTALA requires the hospital to stabilize the patient before transferring or discharging the patient (Encyclopedia of Everyday Laws, 2013). According to The Center for Disease Control (CDC), about 135 million people visit the emergency room each year and hospitals lose approximately $34 billion in unpaid medical bills. With the passing of the Patient Protection Affordable Care Act many unnecessary or preventable emergency room visits will be eliminated. My action plan for Ashe Memorial Hospital is to design a program to decrease the number of uninsured patients using the Patient Protection and Affordable Care Act (PPACA). By decreasing the number of uninsured people, it will also: • decrease the number of emergency room visits • increase the number of people to receive preventative care • increase the quality of patient care A comparative analysis was done on two other hospitals in the same geographic location as Ashe Memorial Hospital. Because Ashe Memorial has a high percent of uninsured residents, many of the residents are using the emergency room as their primary care increasing longer wait times in the emergency room. According to figure 1 below, Ashe Memorial Emergency Room visit are longer when compared to...
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