Fluent Essays

This presentation case study is covering the content in Unit 3 of Edelman, Kudzama, & Mandle (2018).  Include the following: Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management] Health Education Nutrition Counseling for Health Promotion Exercise Stress Management Complementary and Alternative Strategies. Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).  Presentation criteria:  Work within your group to develop the project 9-10 slides with speaker notes 10 minute Voice Over PPT presentation to be uploaded by one member of the group.    Required Textbook and Readings Edelman, C. L., & Kudzma, E. C.. (2018). Health Promotion Throughout the Life Span, 9th edition. St. Louis, MO: Elsevier, Mosby. ISBN: 978-0-323-416733Case Study of Mrs. Hernandez Hello everyone. We are group 4 and we are here to present the case study of Mrs. Hernandez. Case Study of Mrs Hernandez 68 year-old Hispanic Female Widowed, caretaker for grandchildren ages 4 and 5 PMH: Hypertension, Hyperlipidemia, Arthritis PSH: Hysterectomy NKDA, no current medications ℅ knee pain, swelling after walking, fatigue, sleeping less Monica Heisler Mrs. Hernandez is a 68-year-old Hispanic female who presents to the clinic with knee pain. She states that the pain comes and goes, and sometimes hinder her walking. She stated that home remedies usually relieves her pain. Also, she is not taking any OTC medications for the pain or any other medications. Her last check-up was 2 years ago. The patient has a past medical history of hypertension, hyperlipidemia, and arthritis. The patient also had a hysterectomy. The patient has no known drug allergies. Screenings Hypertension Hyperlipidemia Arthritis Obesity David Apolinario Hello, my name is David Apolinario, and I will be discussing screening strategies for Mrs. Hernandez. A 68-year-old Hispanic female comes into the clinic and complains of knee pain. The patient verbalizes that knee pain usually comes and goes and sometimes hinders her walking. The patient also verbalizes that she tried home remedies with some relief but does not take any OTC medications for pain. The patient is not currently taking any prescribed medications. The patient was last seen by her provider 2 years ago. Past medical history includes Hypertension, Hyperlipidemia, and Arthritis. The patient is also unsure of her vaccination records. A review of systems showed an increase in fatigue, knee pain when bending and walking long distances. Other abnormal finding shows a weight of 215 lbs and blood pressure of 178/94. HYPERTENSION David Apolinario Screening for high blood pressure is done with a manual or automated sphygmomanometer. Proper protocol is to use the mean of 2 measurements taken while the patient is seated. We will also do a physical assessment and a thorough family history for Mrs. Hernandez to obtain information and other risk factors. According to Viera (2020), screening for hypertension is recommended for 18 years and older adults. The 2015 US Preventive Services Task Force (USPSTF) guidelines also recommend hypertension screening every year for adults that are 40 years old and above and for those who are at high risk for high blood pressure, such as patients with high-normal blood pressure [130 to 139/85 to 89 mmHg], who are overweight or obese, and African Americans (Viera, 2020) Hyperlipidemia David Apolinario Screening for hyperlipidemia is done via a blood test that checks the amount of cholesterol and triglycerides in the blood (Viera, 2020). For Mrs. Hernandez, we will screen her by checking her lipid profile, including total cholesterol, low-density lipoprotein choleMrs. Little is a 72 year old Hispanic female who presents to the clinic for an annual exam. She reports she has done well since her last visit. States she only checks her blood sugar twice a week, when she remembers. Has not been following her diabetic diet for the last few months. She denies any other issues. Allergies: Strawberries, NKDA Current medications: Metformin 1000mg bid, Amaryl 2 mg daily, Lisinopril 10mg daily PMH: Diabetes, Hypertension PSH: Hysterectomy, Rt Wrist surgery after MVA Social: Tobacco: quit 2002, Denies alcohol or illegal drug use. Retired since 2015, worked as a bank teller. Immunizations: Flu shot 9/2019 Family: Father: died at 92 of natural causes, Mother: died at 80 of stroke ROS: Constitional: HEENT: Denies any headache, nasal congestion, ear pain. Does report blurry vision at times Cardiovascular: Denies chest pain Respiratory: Denies any SOB, DOE, orthnopenia GI: Denies any abdominal pain. GU: Denies any painful urination, urgency, hesitancy Musculoskeletal: Reports some knee pain with bending, walking long distances. Denies any swelling or redness Neurological: Denies Psychiatric: Denies suidicial ideations, depression. Does report difficulty falling asleep Endocrine: Reports she has gained 15 pounds over the last year. Hematologic/ Lymphatic: Denies any bruising OBJECTIVE: Vital signs: Ht: 62, Wt: 198, BP 166/82, HR 84, Resp: 16, SaO2: 96\% Constitutional: Well developed, overweight female HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth with dental cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses Cardiovascular: RRR, No murmurs or rubs noted. No peripheral edema noted Respiratory: Clear bilaterally all fields. GI: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organo-megaly noted.  GU: Deferred Musceloskeletal: Heberden and Bouchard nodes noted to bil hands. Integrementary: Skin warm and dry, No rashes noted Neuro: Follows commands without difficulty Working with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the covering problems identified and the content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following:  · Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management] · Health Education · Nutrition Counseling for Health Promotion · Exercise · Stress Management · Complementary and Alternative Strategies. · Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).OPTIMAL HEALTH United States University FNP 590 Health Promotion, Education, and Disease Prevention Across the Lifespan Immunizations (yearly flu shots covid vaccine) Health education (importance check bs regularly) Exercise in relation to hypertension Stress management in relation to hypertension Complementary and Alternative Methods Relaxation Techniques Qi gong Yoga Meditation Tai Chi Herbs, Supplements, Minerals Cinnamon Omega-3 Magnesium In conjunction with diet and exercise, there are several Complementary and Alternative methods of treatment to choose from which will also help high blood pressure and diabetes. Relaxation techniques such as Qi gong, Yoga, Meditation and Tai chi have shown to show improvements with fasting glucose, blood pressure and lipid profiles (Thalmeier, 2017). Herbs and supplements such as Cinnamon, Omega-3 and Magnesium which have been shown to improve blood sugar and cholesterol (Thalmeier, 2017). 6 HELPFUL TOOLS -Beneficial foods -iPhone & Android compatible -Easy to use       -Manage diabetes - Sync with your glucose monitor - Share information with provider  This Photo by Unknown Author is licensed under CC BY-SA This Photo by Unknown Author is licensed under CC BY-NC Fooducate is a phone app that one can use as a reference to see what foods are beneficial in maintaining a healthy blood sugar range (Doyle, 2020). Fooducate is easy to use simply by scanning and searching for your foods and it also reveals additional information such as added sugars and ingredients that may be hidden  (Doyle, 2020). The Fooducate app is compatible with both iphones and androids. (Doyle, 2020). The MySugr app allows you to manage your diabetes through a convenient dashboard (Doyle, 2020). MySugr has the ability to be compatible with any glucose monitor and allows you to share your information with your provider (Doyle, 2020). The MySugr app is also available through iPhone and Android ( Doyle, 2020). Fooducate is a phone app that one can use as a reference to see what foods are beneficial in maintaining a healthy blood sugar range (Doyle, 2020). Fooducate is easy to use simply by scanning and searching for your foods and it also reveals additional information such as added sugars and ingredients that may be hidden (Doyle, 2020). The Fooducate app is compatible with both iphones and androids. (Doyle, 2020). The MySugr app allows you to manage your diabetes through a convenient dashboard (Doyle, 2020). MySugr has the ability to be compatible with any glucose monitor and allows you to share your information with your provider (Doyle, 2020). The MySugr app is also available through iPhone and Android ( Doyle, 2020). 7 Conclusions References Afolayan, A. J., & Wintola, O. A. (2016). Dietary supplements in the management of hypertension and diabetes - a review. African journal of traditional, complementary, and alternative medicines : AJTCA