Topic 1: Child and Adolescent Health Risks

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Obesity is not exclusive to adults. Each day, more and more children are finding themselves at risk for overweight and obesity. Childhood obesity often accompanies many of the obesity-related conditions adults affected by obesity often experience, such as type 2 diabetes, hypertension, sleep apnea and more. Recent data shows that up to 80 percent of children affected by obesity will continue to be affected by obesity into adulthood (Lobstein, et all, 2015). Obesity impacts children in a variety of ways. First and foremost, a child’s health is impacted as they have now opened themselves up to a wide variety of health issues – issues that most of us didn’t experience until middle-age. In addition to health implications, there’s also one other area that children face which can be very serious – weight bias and bullying. Kids impacted by obesity often find themselves the target of bullying. This bullying can take place in the classroom, in your neighborhood and even in your own home. It is very important to recognize this type of behavior and address it quickly (Lobstein, et all, 2015). The Obesity Action Coalition (OAC), a nonprofit dedicated to educating and advocating for those affected by obesity, provides valuable resources on weight bullying.

Over the last decades, food has become more affordable to larger numbers of people as the price of food has decreased substantially relative to income and the concept of ‘food’ has changed from a means of nourishment to a marker of lifestyle and a source of pleasure. Clearly, increases in physical activity are not likely to offset an energy rich, poor nutritive diet. It takes between 1–2 hours of extremely vigorous activity to counteract a single large-sized (i.e., >=785 kcal) children’s meal at a fast food restaurant (Lobstein, et all, 2015). Frequent consumption of such a diet can hardly be counteracted by the average child or adult.

It has been hypothesized that a steady decline in physical activity among all age groups has heavily contributed to rising rates of obesity all around the world. Physical activity strongly influenced weight gain in a study of monozygotic twins (Rivera, et all, 2014). Numerous studies have shown that sedentary behaviors like watching television and playing computer games are associated with increased prevalence of obesity. Furthermore, parents report that they prefer having their children watch television at home rather than play outside unattended because parents are then able to complete their chores while keeping an eye on their children (Rivera, et all, 2014). In addition, increased proportions of children who are being driven to school and low participation rates in sports and physical education, particularly among adolescent girls, are also associated with increased obesity prevalence.

Almost all public health researchers and clinicians agree that prevention could be the key strategy for controlling the current epidemic of obesity. Prevention may include primary prevention of overweight or obesity itself, secondary prevention or avoidance of weight regains following weight loss, and prevention of further weight increases in obese individuals unable to lose weight (Rivera, et all, 2014). Until now, most approaches have focused on changing the behavior of individuals on diet and exercise and it seems that these strategies have had little impact on the growing increase of the obesity epidemic.

1) **********minimum 2 full pages-Each 1-page answer ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

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You must answer (1) one question2 times. 

You must submit 2 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

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Question:

Suppose you were planning to conduct a statewide study of the work plans and intentions of nonemployed registered nurses in your state (Florida). 

1) Would you ask mostly open-ended questions or closed-ended questions? 

Defend your answer (Mandatory).

Disasters

Instructions:

1. Choose one of topic below and post your response. 
   1. Think about your own community and its residents or neighboring countries. What are some host factors that might increase its risk of experiencing a disaster? What environmental factors might be significant? In each case, identify the likely agent. What interventions could be included in a disaster plan to reduce these factors? 
   2. Provide a weblink to a story about a recent disasters and discuss the impact on human lives. 
   3. Access one or both of the Internet sites listed here. Report on the change in statistics for disasters or terrorism since the year 2000. Have the rates increased or decreased? What factors might be involved?
      • Disasters – http://www.infoplease.com/ipa/A0001437.html
      • Almanac of Disasters – http://www.disasterium.com
2. Your response should be 200 – 250 words. APA Format, 1 reference at least. (This is for a community nursing course)

1-Emotional self-awareness has a great impact on the effectiveness of leadership.  Knowing one’s own emotional state and mood is crucial in building a professional and productive relationship with one’s staff (Huber, 2014). Leaders who have the capability of being self- aware of their emotions are better able to recognize when their emotions are having a negative affect on people which then allows them to address it effectively (Goleman, 2017).

Such behaviors such as being confident, involved and leading by example as well as being humble and honest, and admitting to one’s own mistakes and taking responsibility for what we do not know and knowing when to ask for help, I feel are characteristics of a leader that not only encourage, but also motivate people in wanting to do their best. I feel that people respond to leaders that make them feel as an integral part of the team. Allowing people to provide feedback is one way of doing so, as it shows them that as a leader we care about their input, their ideas and/or suggestions in moving forward with a certain project.

Reference

Goleman, D. (2017). Self-Awareness: The Foundation of Emotional Intelligence. Retrieved from

https://www.linkedin.com/pulse/self-awareness-foundation-emotional-intelligence-daniel-goleman

Huber, D.L. (2014). Leadership and Nursing Care Management. (5th ed.). [VitalSource Bookshelf Version]. Retrieved from

https://evolveebooks.elsevier.com/books/9781455740710

2-Leadership is more than just being a point of authority and telling people what to do. Nurse leaders need to be even more developed with working with multiple titles within the health care team such as: Doctors, nurses, patient care assistants and so many other positions held within the hosptial. Poor leadership can be recognized easily and can have an impact on how an organization operates. According to Romanowska (2014) “Developing leadership competence is a serious responsibil- ity. Poor leadership is common and may cause severe human suffering, resulting in substantial costs for business and society. When organizations invest time and money in programs for improvement of their leaders’ ability to assume responsibility, they expect improvement in employees’ performance and health” (p.97). 

In order for a leader to be successful they need to possess certain skills with self awareness being one of them. Self awarenss by definition is one’s ability to recognize and conscious one’s own character, feelings, motives and desires. As a leader this is important because leaders often need to separate emotion to make sound decisions and judgments. A self aware leader is more likely to not act on impulses. Being more aware of one’s own emotions helps a leader to better understand the emotions and feelings of the perople around them as well. 

Having strong nursing leaders are an essential part of organizing safe patient care and a happy staff. Through experience I have found that you can encounter many different egos within the hospital. The most effective nursing leaders are the one’s who are able to admit when they are wrong and are open to other staff member’s input and advice. Havign self awareness helps the nurse leader to set good examples for other staff members by using safe practice and staff being more open to input from that leader. 

References:

Romanowska, J., Larsson, G., & Theorell, T. (2014). An art-based leadership intervention for enhancement of self-awareness, humility, and leader performance.  Journal of Personnel Psychology ,  13 (2), 97–106. https://doi-org.lopes.idm.oclc.org/10.1027/1866-5888/a000108

3-One’s self awareness and behaviors’ have the potential influence us by the different things that can factor us like our culture, belief and our values. According to Edwards and Daniel “varies factors have a potential impact in the formulation of one’s self awareness and behaviors’ (2009) they also define values as “generals’ beliefs about the importance of normatively desirable behaviors’ and actions” (p.655). A few years ago as a unit manager my beliefs were no matter what the issues and problems were on the unit all staffs seems to work it out every morning we had a meeting about things that gone wrong and what can be done to get things better, I never had a problem getting staffs doing their job because, they knew that I am always there to help and what I didn’t like for myself I don’t believe on doing it to others. Some nurses always complained that the staffs do not respect them and never do what is asked I can truly say this I never had a problem with getting staff to do their job, because they know that what ever is asked of them I, as the manager can and will do. As manager and or leaders we lead my examples to me that means whatever is asked of staffs to do managers we have no issues doing it ourselves. Sometimes staff will say to me what makes you tick meaning getting upset I always laugh and say you will never know, having and knowing our self-awareness will help to keep emotions and behaviors under control no matter how upsets and angry we get our emotions and what we feel should never be displayed before other staffs, patients and or family members. If staffs need to be at work early managers needs to be their early too. We need to be honest with our self don’t say one thing a another. My weakness is I am unable to come to work and job in and work I have to be at work a few minutes early at least 30 mins where I can calm by mind, do my walking rounds, get my thoughts together and be prepared before I start some nurses have problems with that because the seems to come to work late and that throws my whole day off but that is something that I need to work on and currently doing. While I was doing the unit manager I got written up the reason for that was I was told by the DON that I was spoon feeding the nurses too much because I do thier job for them I am not the one that seems to delegate and then return to make sure its done, at times I will help the nurses by helping them to do and get the job done and I was told that it’s the nurses job and I am there to make sure it’s done not to do it for them. The impact of improving value congruence itself may not be as successful a strategy as focusing on the resultants of value. (Edwards& Daniels,2009)

Edwards, & Daniels. (2009). 655. Retrieved October 17, 2018.

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