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NR305 – Week 2 Discussion: Assessment for Health Promotion

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
  • CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)

Discussion

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”

Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90

Using the lesson and text as your guide, answer the following questions.

  1. What additional assessment data (subjective and/or objective) would you like to gather from Maria?
  2. What actual health concerns and risk factors have you identified?
  3. What are some opportunities to promote health and wellness for Maria?
  4. Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)

ANSWER:

As I was reading about Maria, I was able to relate to her in many ways. I also struggled with weight gain, poor stress management, and sleep deprivation during nursing school. Nursing school is hard, let alone Maria having the stress of taking care of her family with very little help. To help with the stress, I did my best during nursing school to plan out my week in my planner of when I needed to study and what chapters. This way I could space it out and not be so overwhelmed with the stress of studying so many chapters at one time. I also tried to make sure to give myself time at the end of the day to de-stress by taking a bath, watching my favorite shows, or catching up with family or friends. I plan to give Maria some similar idea in ways she can promote health and wellness in her life… To continue reading, click on the button below.

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