Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.

1. Identify chronic illness and its relationship to rehabilitation.
   Choose from one:
   COPD, CHF, Stroke, Hip fracture
2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 5 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to APA style.

1) Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, African – Americans and Prostate Cancer, etc).

This an example of an student Posting: 

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

-PLEASE USE APA STYLE 6TH EDITION

-AT LEAST 300 WORDS

-2-3 REFERENCES NO MORE THAN 5 YEARS OLD

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

List the objective(s) met and briefly describe 8 activities you completed during each time period. for that week in the Total Hours for This Time Frame column. Journal entries are due in Weeks; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.

WEEK 6

This week discussion involves a 68 -year-old Caucasian male who complained of burning when urinating.  He admits to the pain increasing with the more he urinates and it has been going on for the past 5 days.  His past medical history includes prostatic hyperplasia, high cholesterol and hypertension. The medications he is prescribes are Olmesartan 20mg and Crestor 20 mg. He has been diagnosed with nocturia and dysuria. The subjective data I would inquire is his diet. How much water does he consumes daily? Was there an odor present when urinating?  Due to your history of UTI’s, are you taking any probiotics as needed and were you prescribed with antibiotics, if so, how long? With his systolic Blood pressure in the 150’s, when is the last time you took the Olmesartan. Did the fever occur before or after the Burning started, and did you take any acetaminophen or Motrin to break it?

             The Labs that I would order is a urine culture with sensitive, CBC, BMP and lipid panel. A kidney, ureter, and bladder (KUB) X-ray may be performed to assess the abdominal area for causes of abdominal pain, or to assess the organs and structures of the urinary and/or gastrointestinal (GI) system. A KUB X-ray may be the first diagnostic procedure used to assess the urinary system.

           A few diagnoses that can relate to the symptoms will include Bladder infection. They are the most common type of urinary tract infection caused by bacteria and can lead to problems like pain in your lower belly and having to pee way more often than usual (Rhoads, 2021). Symptoms may include Pain in the bladder, groin, lower abdomen, or pelvis that can occur during urination or during sexual intercourse.  The body may experience fatigue, fever, or malaise. Chronic Kidney Disease is a condition in which the kidneys are damaged and cannot filter blood as well as they should. Because of this, excess fluid and waste from blood remain in the body and may cause other health problems, such as heart disease and stroke (CDC,2019) CKD can cause Anemia, increased infections, abnormal electrolytes, loss of appetite or depression.

         A Kidney infection (pyelonephritis) is a type of urinary tract infection (UTI) that generally begins in your urethra or bladder and travels to one or both of your kidney. Symptoms observed in a kidney infection are Fever, Chills, Back, side (flank) or groin pain, Abdominal pain, Frequent urination, Strong, persistent urge to urinate and Burning sensation or pain when urinating.

                    Furthermore, patient teaching would include increasing intake of water and/or cranberry juice. Fluids can help remove bacteria from your body when you urinate. Kidney scarring can lead to chronic kidney disease, high blood pressure and kidney failure. When the infection remains in the blood, septicemia can occur.  Your kidneys filter waste from your blood and return your filtered blood to the rest of your body.  Urinate as soon as you need to. Avoid delaying urination when you feel the urge to urinate. It is important to empty the bladder after intercourse. Urinating as soon as possible after intercourse helps clear bacteria from the urethra, reducing your risk of infection (CDC, 2019).

References: 

Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System website. https://nccd.cdc.gov/CKD. Accessed January 7, 2019.

Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284105377