– DQ replies to 3 DQs.

Instructions for DQ Replies to 3 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 6th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 5 years

DQ-1

There are many indicators that define healthy people. Pick one indicator and discuss ways in which you can promote that healthy indicator. Review the Health People 2020 “Topics and Objectives” resource located in the study materials and identify at least one community resource to help you promote the indicator of the patient population selected in your essay on assessing patient population wellness.

Healthy people 2020 has a goal of promoting access to healthcare in all communities (Access to Health Services, n.d.). This provides a goal for healthcare providers to increase all population’s access to healthcare regardelss of the obstacles or issues that may present itself (Access to Health Services, n.d.).

In my essay, I chose the Hispanic population. In the Hispanic population, there is a lack of access to healthcare due to lack of insurance which is a result of the cultural bias of preferring internal religious treatment from healers rather than external healthcare treatments (Yanez et al., 2016). Another restriction is that Hispanic culture is usually patriarchial, and the leader of the close-knit family usually chooses to look inwards to healers and religious ceremonies as illness is viewed as punishment from God for recent immoral acts (Yanez et al., 2016). These biases combine to create a uniqe issue with a unique solution to promote healthcare access to the Hispanic population.

The unique solution is to come up with health programs and health promotion community resources that target the patriarchial leadership of the Hispanic community (O’Connor et al., 2020). The program that was created is called Healthy Dads, Healthy Kids, which targets Hispanic men who are the leaders of their family, and provides them with information that explains health promotion and access to healthcare (O’Connor et al., 2020). In the course of the program, father-child bonding increased, and requested information regarding health promotion also was found to increase as well (O’Connor et al., 2020). The program’s primary goal of obtaining acceptance, relevance, and impact of the Hispanic community was ultimately obtained as these families began to adapt a healthy lifestyle and began to seek out healthcare from healthcare specialists regarding current disease proceeses and health promotion and prevention (O’Connor et al., 2020).

In my community, we can adapt this same approach, and as an Acute Care Nurse Practitioner, it would be my responsibility to meet with the families and help explain the goals of the program regarding health promotion and direct it towards the male leadership in hope of getting the same response. I think it will be easier to implement the program if there was a provider that led the discussions along with the assistance of bilingual interpeters in order to adequately convey information back and forth.

References:

Access to Health Services. (n.d.). Retrieved September 03, 2020, from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services

O’Connor, T. M., Perez, O., Beltran, A., Colón García, I., Arredondo, E., Parra Cardona, R., Cabrera, N., Thompson, D., Baranowski, T., & Morgan, P. J. (2020). Cultural adaptation of “Healthy Dads, Healthy Kids” for Hispanic families: applying the ecological validity model. International Journal of Behavioral Nutrition & Physical Activity, 17(1), 1–18. https://doi-org.lopes.idm.oclc.org/10.1186/s12966-020-00949-0

Yanez, B., McGinty, H. L., Buitrago, D., Ramirez, A. G., & Penedo, F. J. (2016). Cancer Outcomes in Hispanics/Latinos in the United States: An integrative review and conceptual model of determinants of health. Journal of Latina/o Psychology, 4(2), 114–129. https://doi-org.lopes.idm.oclc.org/10.1037/lat0000055

DQ-2

I would first begin by asking the patient if they recieved any vaccienes in their lifetime. Next, I would then inform them I would like to have a conversation with them regarding vaccienes and to hopefully give them information so they can make an informed decision on to wether or not get their vaccienes up to date. Health illetericy is one of the largest issues that is preventing vacciene uptake in adults and misinformation leads to difficult conversations regarding counseling an adult on vaccienes (Gatwood et al., 2020). Hopefully through delicate initial conversations, barriers can be broken down in order to convey correct information and clear any misinformation that the patient may have learned from a non-source (Gatwood et al., 2020).

A major issue with counseling adults who did not recieve routine vaccinations as a child is that their belief system on vaccinations is based on what their caregiver has told them their beliefs were (Hurley et al., 2020). This leads to repeat conversations over the course of a few visits because healthcare providers are attempting to break down a life long belief structure that the patient recieved from a trusted source (Hurley et al., 2020).

Some strategies I would adopt would be a step-by-step approach to understanding the patient’s belief system and their own views on vaccinations as a whole. Then I would ask them if they wanted more information about vaccienes in an informative manner, and begin the conversation with an attempt at clearing up any previous misinformation. I would remind the patient that it is ultimately their choice so they do not feel pressured to make a decision. Then over the next few visits I would begin talking to them more about vaccinations and continue to clear up any misinformation and hopefully lead them to a comfortable spot where they choose to get their vaccienes on their own.

Another strategy I would employ would be utilizing the EMR’s ability to remind me, as the provider, to ask the patient, if they want their vacciene and to ensure that they accually recieve their vacciene (Hurley et al., 2020). This would help keep track of all the patients who have recieved the vacciene, or have not, and would be a good reminder of who to have conversations or counseling sessions on vaccienes with (Hurley et al., 2020).

References:

Gatwood, J., Shuvo, S., Hohmeier, K. C., Hagemann, T., Chiu, C.-Y., Tong, R., & Ramachandran, S. (2020). Pneumococcal vaccination in older adults: An initial analysis of social determinants of health and vaccine uptake. Vaccine, 38(35), 5607–5617. https://doi-org.lopes.idm.oclc.org/10.1016/j.vaccine.2020.06.077

Hurley, L. P., Lindley, M. C., Allison, M. A., O’Leary, S. T., Crane, L. A., Brtnikova, M., Beaty, B. L., & Kempe, A. (2020). Physicians’ Use of Evidence-Based Strategies to Increase Adult Vaccination Uptake. American Journal of Preventive Medicine, 59(3), e95–e103. https://doi-org.lopes.idm.oclc.org/10.1016/j.amepre.2020.03.020

DQ-3

Nutrition and Weight status is one of the Healthy People 2020 topics that affects many chronic diseases, overall health, and reduces complications (Nutrition, 2020). Nutrition is one of the basic modifiable risk factors for disease that can prevent obesity, chronic disease, and maintain wellness. In the Hispanic population, physical determinants of diet greatly influence their choices such as access to food and marketing towards that population. Social factors also affect food choices such as eating the foods within their culture and using lard, high processed foods, less nutrient dense foods, and high carbohydrates. In this culture they are raised to have tortillas, rice, beans, using lard, etc. to add calories to foods that can increase weight.

As an NP we can help by educating people on healthier options, incorporating family into education, and giving them basic knowledge on nutrition. It can be overwhelming so the changes can be small and gradual so it is less stressful making diet changes. Resources such as WIC, food stamps, food co-ops and food banks are all great resources to families that cannot afford healthier options or did not know about them. Hispanic/Latino individuals are at a greater risk for obesity and the best intervention is education and family-centered nutrition interventions (Kaiser, 2015). Sometimes the walkability of the neighborhood can affect the option of the family incorporating physical activity into daily life, so community resources can be given for this as well. The community might have free options at a local park or community building that can provide a safe place for exercise to help maintain a healthy weight.

Nutrition and Weight Status | Healthy People 2020. (2020). Healthy People 2020. https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status

Kaiser L, Martinez J, Horowitz M, Lamp C, Johns M, Espinoza D , et al. Adaptation of a Culturally Relevant Nutrition and Physical Activity Program for Low-Income, Mexican-Origin Parents With Young Children. Prev Chronic Dis 2015;12:140591. DOI: http://dx.doi.org/10.5888/pcd12.140591external icon.