Promoting Health and Lowering Risk in Elderly People

ANSWER

First Post:

First Post: Promoting Health and Lowering Risk in Elderly People
a) Topics Particular to Older Adult Health Promotion and Counseling:
Guidelines from the CDC and the U.S. Preventive Services Task Force (USPSTF) state that health promotion and counseling for senior citizens should concentrate on:

Prevention of Falls: Guidance on fitness regimens and home safety adjustments to avoid falls.
Immunizations: Giving vaccinations against COVID-19, shingles (zoster), influenza, and pneumococcal disease.
Mental health: Checking for anxiety and depression, particularly in elderly people who live alone.
Nutrition: To prevent osteoporosis, a balanced diet high in calcium and vitamin D is recommended.
Physical Activity: Promoting strength-training and moderate aerobic activities based on their capabilities.
Cognitive health: instruction on how to spot dementia or cognitive impairment symptoms.
Substance Use: Guidance on avoiding smoke and consuming alcohol in moderation.
b) Screening Instruments Suitable for Elderly People:

Tools such as the Timed Up and Go (TUG) test are used to assess the risk of falls.
Cognitive Screening: The Montreal Cognitive Assessment (MoCA) or Mini-Mental State Examination (MMSE).
Geriatric Depression Scale (GDS) for depression screening.
Screening for vision and hearing: Snellen chart or Whisper test.
Bone Health: Osteoporosis detection using dual-energy X-ray absorptiometry (DXA).
2. African American Man, Age 64: Risk Factors and Preventive Strategies
a) Possible Risk Elements:

Cardiovascular Disease (CVD): Hypertension is more common in African American men, raising their risk of heart disease and stroke.
Type 2 diabetes is a common illness in this group that is frequently attributed to genetics and food.
African American men are more likely to get prostate cancer.
Sedentary lifestyles and obesity are common risk factors for long-term conditions.
Mental Health: Delays in diagnosis and treatment may result from the stigma associated with mental health conditions.
b) Preventative Actions:

Blood Pressure Monitoring: To control hypertension, routine screenings and lifestyle changes are necessary.
Annual HbA1c or fasting glucose tests are used for diabetes screening.
Colorectal cancer screening include colonoscopy and prostate-specific antigen (PSA) testing.
Changes in Lifestyle:
Nutrition: Adhering to a diet that promotes heart health, like the DASH diet.
Physical Activity: Doing moderate exercise for at least 150 minutes per week.
Pharmacological therapies and counseling may be necessary for quitting smoking.
Limiting alcohol consumption is known as alcohol moderation.
Vaccinations: Pneumococcal, shingles, and flu shots every year, if not previously received.
The patient will receive comprehensive care that addresses risk reduction and prevention when evidence-based guidelines are followed. These actions reduce inequalities in health outcomes for African American men while promoting lifespan and quality of life.

 

 

 

 

a) Topics Particular to Older Adult Health Promotion and Counseling:
Guidelines from the CDC and the U.S. Preventive Services Task Force (USPSTF) state that health promotion and counseling for senior citizens should concentrate on:

Prevention of Falls: Guidance on fitness regimens and home safety adjustments to avoid falls.
Immunizations: Giving vaccinations against COVID-19, shingles (zoster), influenza, and pneumococcal disease.
Mental health: Checking for anxiety and depression, particularly in elderly people who live alone.
Nutrition: To prevent osteoporosis, a balanced diet high in calcium and vitamin D is recommended.
Physical Activity: Promoting strength-training and moderate aerobic activities based on their capabilities.
Cognitive health: instruction on how to spot dementia or cognitive impairment symptoms.
Substance Use: Guidance on avoiding smoke and consuming alcohol in moderation.
b) Screening Instruments Suitable for Elderly People:

Tools such as the Timed Up and Go (TUG) test are used to assess the risk of falls.
Cognitive Screening: The Montreal Cognitive Assessment (MoCA) or Mini-Mental State Examination (MMSE).
Geriatric Depression Scale (GDS) for depression screening.
Screening for vision and hearing: Snellen chart or Whisper test.
Bone Health: Osteoporosis detection using dual-energy X-ray absorptiometry (DXA).
2. African American Man, Age 64: Risk Factors and Preventive Strategies
a) Possible Risk Elements:

Cardiovascular Disease (CVD): Hypertension is more common in African American men, raising their risk of heart disease and stroke.
Type 2 diabetes is a common illness in this group that is frequently attributed to genetics and food.
African American men are more likely to get prostate cancer.
Sedentary lifestyles and obesity are common risk factors for long-term conditions.
Mental Health: Delays in diagnosis and treatment may result from the stigma associated with mental health conditions.
b) Preventative Actions:

Blood Pressure Monitoring: To control hypertension, routine screenings and lifestyle changes are necessary.
Annual HbA1c or fasting glucose tests are used for diabetes screening.
Colorectal cancer screening include colonoscopy and prostate-specific antigen (PSA) testing.
Changes in Lifestyle:
Nutrition: Adhering to a diet that promotes heart health, like the DASH diet.
Physical Activity: Doing moderate exercise for at least 150 minutes per week.
Pharmacological therapies and counseling may be necessary for quitting smoking.
Limiting alcohol consumption is known as alcohol moderation.
Vaccinations: Pneumococcal, shingles, and flu shots every year, if not previously received.
The patient will receive comprehensive care that addresses risk reduction and prevention when evidence-based guidelines are followed. These actions reduce inequalities in health outcomes for African American men while promoting lifespan and quality of life.

 

 

 

 

QUESTION

Evidence-based clinical practice guidelines are specific recommendations created from a methodologically rigorous review of the best evidence on a particular topic. Guidelines typically do not answer a specific clinical question but rather a group of questions about care. As a result, they have tremendous potential as tools for clinicians to improve the quality of care, the process of care, and patient outcomes and reduce variation in care and unnecessary healthcare expenditures.

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Review:

Health Promotion final (1) (2).pptx Download Health Promotion final (1) (2).pptx

U.S. Preventive Services Task Force (USPSTF) https://www.uspreventiveservicestaskforce.org/uspstf/Links to an external site.

Clinical Practice Guidelines Archive

https://www.ahrq.gov/prevention/guidelines/archive.htmlLinks to an external site.

Promoting Health for Older Adults (cdc.gov)Links to an external site.

Click the above links and use these guidelines to answer the following questions:

1. A nurse is creating a teaching plan for an older adult hospital  patient that focuses on health promotion and risk reduction

a) According to the guidelines, what health promotion and counseling areas are specific to the older adult?

b) Which screening tools are appropriate in the assessment of older adults?

2. An African American 64-year-old man comes for his annual well-being visit.

a) What are the potential risk factors associated with this patient?

b) Which preventive measures will you advise the patient to consider?

Directions:

  1. Initial Post: Your initial post must be a minimum of 150 words.
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