Health Promotion & Middle-Age Adults

Learning Goal: I’m working on a nursing discussion question and need an explanation and answer to help me learn.

For this Discussion, your instructor will assign you a case number.

Case 1 Case 2 Case 3
Cases J.G. is a nurse practitioner working in a health clinic. Her clinic provides care to a majority of Hispanic migrant farmworkers during the summer months. Farmworkers in the area are susceptible to health problems because they are in a low-income bracket and may be exposed to unsanitary working and housing conditions. The workers do not tend to seek preventive care because of finances, transportation, and fear of deportation in many instances.

She struggles with the delivery of fragmented services within the migrant community because individuals move around frequently. In her encounters with the patients she serves, she has to stress early the importance of screening and follow-up care. She must also carefully assess the level of health literacy when providing education. In addition, She remains culturally sensitive to the beliefs and practices of the population she serves.

K.Y. is an employee-health nurse practitioner for a large corporation. Her role is to advocate for her clients by helping them improve their quality of life, both for the present and the future, through the identification of risk factors, health promotion, and other nursing interventions. The majority of the employees She sees are middle-age adults.

Her clients come to see her for a variety of reasons, including stress, mental illness, and on-the-job injuries. K.Y. assists her clients by providing education about healthy lifestyle choices, referrals to community resources, and counseling.

R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with the patient and his or her caregiver in trying to prevent complications of illness.

R.K. specializes in providing wound care services in the home. He visits many diabetic patients living in a senior community. These patients are considered to be homebound and use wheelchairs or walkers to reach the common dining room where meals are served every evening. He is interested in assessing the nutritional content of the meals that are served.

Questions for the case Create a list of health hazards associated with the migrant population in general and the one referred on the case. Which would be your recommendations to the migrant population to prevent injuries related to those hazards and how to improve their health. Make a summary of the typical biological changes in the middle-age adult. Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

  1. Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?
  2. Have students develop a smoking cessation plan for a client.
  3. Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.

Submission Instructions:

  • Your instructor will assign you your case number and you will post on the case number you have been assigned.
  • You will reply to the other two case studies (One of each).
  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Grading Rubric

    Your assignment will be graded according to the grading rubric.

    Discussion Rubric
    Criteria Ratings Points
    Identification of Main Issues, Problems, and Concepts Distinguished – 5 points
    Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
    Excellent – 4 points
    Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
    Fair – 2 points
    Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
    Poor – 1 point
    Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
    5 points
    Use of Citations, Writing Mechanics and APA Formatting Guidelines Distinguished – 3 points
    Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
    Excellent – 2 points
    Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
    Fair – 1 point
    Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
    Poor – 0 points
    Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
    3 points
    Response to Posts of Peers Distinguished – 2 points
    Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
    Fair – 1 point
    Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
    Poor – 0 points
    Student provided no response to a peer’s p
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