NSG 4055 Week 1 Discussion
Discussion Question
There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue.Utilizing your learning from your readings and the South University Online Library resources, respond to one the following questions:
Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
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Consider the twelve-year-old and the seventy-five-year-old have a chronic illness.How does the chronically ill patient’s illness trajectory influence the plan of care?
Review Healthypeople.gov website.Discuss how you feel these goals will impact the health of the nation.Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.
NSG 4055 Week 1 Project
Introduction
While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver.You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.
In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 Topics.While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements.Your perspective in this care plan should be the patient’s goals rather than those of the medical team.
Each week, you will complete a part of this project.You will submit a final completed project in Week 5.Be sure to take the time to carefully complete each of the weekly assignments and then put it all together in Week 5.
Ensure that you save a copy of this course project after you have submitted it at the end of this course.You are expected to resubmit this project along with the other course projects at the end of the Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) program.File Transfer Protocol (FTP) details will be provided in the Capstone course.
Identifying a Group
Identify an area of chronic illness of specific interest to you and that is represented as a Healthy People 2020 topic (healthypeople.gov).Explain your choice and your interest in it.Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.Submit your information in a 4- to 5-page Microsoft Word document.In addition to your questionnaire, be sure to include the following details in your paper.
Chronic Illness of interest
Morbidity and comorbidity of the disease
Impact of the chronic illness and patient morbidity and the affect to overall health of nation
Healthy People 2020 goals and objectives for specific illness group
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
NSG 4055 Week 1 Discussion & Project- Sample Assignment
Diabetes
The purpose of this paper is to briefly review a chronic disease (diabetes) selected from the Healthy People 2020 website (Office of Disease Prevention and Health Promotion, n d.). Diabetes will then be described in terms of why the choice was made and why it is an issue. Morbidity and co-morbidities are described as well as the impact on the overall health of the nation. The Healthy People 2020 goals and objectives for diabetes will be described. Finally, a questionnaire will be presented that gathers patient information necessary for the preparation of a care plan.
Diabetes Overview
There are three forms of diabetes: diabetes type 1, diabetes type 2, and gestational diabetes. The American Diabetes Association (n. d.) describes diabetes type 1 as an inability to produce insulin and has a prevalence of about 5% of the population. Type 2 diabetes is an inability to maintain normal levels of blood glucose due to insulin resistance and is by far the predominant form of diabetes (90% to 95%). Gestational diabetes occurs in about 9.2% of pregnant women and is also the result of insulin resistance (American Diabetes Association, n. d.).
The reason for selecting diabetes as a chronic disease for further exploration is that it is widespread and has serious health consequences if left untreated. Also, some types of diabetes are amenable to interventions. For example, type 2 diabetes can be prevented and controlled through lifestyle modifications and medication. Further, the global prevalence of DM is increasing, particularly among low- and high-income countries (World Health Organization, n. d.). As of 2015, the prevalence DM in the United States was 9.4%, which is 30.3 million individuals (Centers for Disease Control and Prevention, n. d.). The risk for DM increases with age and reaches about 25% of people over the age of 65. Age-adjusted prevalence estimates demonstrated that DM is highest among minorities: American India women (15.3%) and black non-Hispanic women (13.2%). On a county level, DM is concentrated in the Appalachian region and the southeast U. S. (Centers for Disease Control and Prevention, 2017).
Morbidities, Co-morbidities and Cost
The risk factors for complications of DM are smoking cigarettes, overweight and obesity, physical inactivity, hypertension, hyperlipidemia, and hyperglycemia (Centers for Disease Control and Prevention, 2017). Frequent co-morbidities are heart disease, hypertension, hyperlipidemia, kidney failure, and hyperglycemia. Among American adults with a diagnosis of diabetes, the estimated prevalence of chronic kidney disease (stages 1 to 4) is 36.5% (Murphy et al., 2016). DM is a major contributor to heart attacks, blindness, and lower limb amputation. By 2030, DM is predicted to rank seventh in the leading cause of death worldwide (World Health Organization, n. d.).
DM is costly on an individual and national level. For the individual, the average expenditure per person with diabetes in the U. S. was approximately $13,700 (Centers for Disease Control and Prevention, 2017). With respect to the burden of the disease on the national healthcare delivery system, the total estimated annual direct and indirect costs for the year 2012 attributed to DM was $245 billion. The average healthcare costs for an individual with diabetes is 2.3 time higher than the costs for individuals without diabetes (Centers for Disease Control and Prevention, 2017).
