Abstract
Nola Pender constructed the Health Promotion Model to serve as a guide for nurses as well as other healthcare providers in improving the lives of their patients. The model is centered on the patient and what influences their behavior. The patient must be viewed as a holistic and multidimensional being, capable of change and exerting self-efficacy over a variety of influencing factors. This is a key concept in the management and care for the obese patient with regards to anesthesia. Through use of the HPM, anesthesia providers can reduce negative patient outcomes, improve on patient safety and make a lasting impact on the lives of their patients. The end goal is furtherance of health-promoting behavior to attain an improved overall
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This monster that will not be silent is none other than obesity, and it is on the rise. At present, nearly 78 million adults and 13 million children in the United States alone are impacted by the devastating effects of obesity ("American Heart Association," 14 March 2014). Obesity rates appear to be on the rise as well, with increasing numbers of youth being affected. A National Institutes of Health report showed that from 1962 until 2006, obesity in adults more than doubled, increasing from 13.4 percent to 35.1 percent. The average adult weighs more than 26 pounds more than they did in the 1950’s, according to the CDC ("American Heart Association," 14 March 2014, p. 2). The American Hearth Association also concludes that obesity is costing the medical system approximately $190 billion yearly in weight-related medical bills. Of special interest is the impact of these obese patients, obviously a large portion of our patient population, with regards to anesthetic care. Many changes, precautions and differences take place when providing anesthesia for the obese patient. Health promotion is one answer for this epidemic. Pender’s Health Promotion Model may play a large role in changing the obesity …show more content…
In 1996, Pender revised her model to the 3rd Edition to “increase its explanatory power and its potential for use in structuring health-promoting nursing interventions” (Peterson & Bredow, 2009, p. 225). There are three major concepts in the newest revised model. These three concepts are individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes (Pender, Murdaugh, & Parsons, 2011). Individual characteristics and experiences include those things that make each person unique. It includes their behavior and their own personal factors. This all revolves around the idea of changing or modifying a behavior. This first concept is of varying importance depending on the specific behavior we are trying to modify. A persons’ belief of their own control, their perceived benefits and barriers can help explain why prior choices were made and behaviors were set in place. Frequent negative behavior in the past can present a large obstacle to
Obese- is becoming an “epidemic!” We have 44.3 million people that are either obese or over weight. In 1986, the numbers were at 1 in 2000, and they became 1 in 400 by the year 2000. Even our high school age students are at an all time high of 16% overweight and 10% obese. As that number keeps increasing, future projections for covering healthcare expenditures must figure in the obese-related
A common theme among the concerns of today’s American citizens is that of obesity. Obesity, identifiable by abnormal fat accumulation, can be defined in absolute terms by one who has a Body Mass Index (BMI) over 30. It is estimated that over 30 percent of American adults are clinically obese. This number has shown a dramatic increase from the 15 percent of American adults suffering from obesity in 1980. Globally, 400 million adults are obese, while predictions place this number at 700 million by 2015. The major issue confronting this adiposity is the health conditions that accompany states of extreme obesity. These include cardiovascular diseases, diabetes, sleep apnea, and osteoarthritis among others. The escalating number of obese and
Obesity remains an extremely serious issue worldwide. Once considered a problem for wealthier counties, overweight and obesity are now dramatically increasing in low and middle income countries (WHO, 2011). In American, the rates of obesity continue to soar. CDC (2009) recognizes obesity as a risk factor for diabetes, heart disease, high blood pressure, and other health problems. According to NHANES over two-thirds of the US are overweight or obese, and over one-third are obese (CDC, 2009). Treatment for this illness varies; it may include the incorporation of diet, exercise, behavior modification, medication, and surgery. Since there is no single cause of all overweight and obesity, there is no single way to prevent or treat overweight
The health promotion initiative is science and system design to improve and promote health in a specific community. I have a very strong experience in the Bronx where I have spent most of my time and raise my kids and a careful study of the inhabitants who are serious to make earns meet are lucking the time to take care of their personal life. Taking my formal neighborhood (white plain road) for example is an area being underestimated by so many people because of selling of weed, drugs, prostitution, shoplifting etc. But for one to live in that area, you need to have either a good job or do double in other to meet your needs. As a result of that, the inhabitants do not have time for themselves, an example is to eat well, exercise visits their
As high rates of drug used among aboriginals is linked to poverty, inability to cope, income, and education it is imperative to resolve the drug issue. In order to lower the rate of drug use among aboriginals, proper education must be disseminated. Creating a supportive environment is a strategy that can help in educating the aboriginals how to get out of poverty. As demonstrated in a study many interviews expressed the need to be educated about drugs, but expressed it should take in consideration their culture. This would also mean community immersion and understanding Aboriginals as a people, not just statistical facts (Theng & Al, 2013). The government and marketing campaigns in collaborations with the community health nurses can implement this strategy through various activities such as creating poster/pamphlets in Aboriginals languages; organizing cost free informative sessions in their locale to help them cope better in their everyday life. This way Aboriginals can access quality education about the substance abuse, symptoms and how to cope better with underlying issues
Health promotion utilises theories and models to guide practice. A theory is the general principles of a framework of ideas in regards to a particular topic. (Merriam-webster.com, 2016) A model is a set plan of action based on theoretical ideas to achieve a set goal. (Merriam-webster.com, 2016)
An estimated 97 million adults in the United States are overweight or obese (Klein 2000). “"Affecting one in five Americans – or more than 22 percent of the U.S. population – obesity is one of the most pervasive health problems in our nation right now," said George L. Blackburn, M.D., Ph.D., associate professor of surgery and associate director of the Division of Nutrition at Harvard Medical School/Beth Israel Deaconess Hospital, Boston, Massachusetts. "We need to implement steps to slow the progression of this national epidemic” (NAASO 1999). But the problem of obesity does not only affect the United States. "We now know that the growing prevalence of obesity is creating major health problems worldwide," said Dr. James O. Hill, president of the North American Association for the Study of Obesity (NAASO) and Professor of Pediatrics and Medicine at the University of Colorado Health Sciences Center. Obesity was once regarded as unique to Americans, but it is now seen as a global health risk affecting developing and underdeveloped countries (AOA 2000). Obesity is increasing at an epidemic rate in the United States - 1.3% a year for women over 20. Rates of obesity among minority populations, including African-Americans and Hispanic Americans are especially high (AOA 2000). There is also a marked increase in obesity among children.
Obesity has been measured or defined in various ways. Many researchers have differing opinions on the origins and effects of obesity. The rapidly increasing rates of obesity are often linked to a high calorie diet and little to no physical activity. Although obesity is seen as a disease that affects a person’s weight, it actually affects a lot more than that. Obesity can affect individuals in both adolescence and adulthood, their families, and the healthcare system. From an outside viewpoint, obesity looks like a disease that careless, inactive people develop. Not always is this the case. Obesity is not a disease that affects solely the weight of a person. To be considered obese, your BMI (body mass index) would have to be 30 or higher. Almost 70 percent of Americans are either overweight or obese. Not only does obesity affect the weight of a person, it can also lead to increased risk for diabetes, high blood pressure, heart disease, sleep apnea, and many other things. Questions posed on this dreadful disease by many people are on the origin of the disease, the effects and exponential growth of the disease, and the actions that are being taken to help provide a healthier environment for Americans and to establish programs and preventative methods across the country to help fight the ever increasing obesity rate.
Truthfully, I never gave much thought to what effect science had or has on art. Even with my background being principally in the Architecture and Design, it was always just numbers to me. Art to me is something that is subjective at best, I love the craftsman style that doesn’t mean everybody does. Below is my interpretation of this week’s readings.
Obesity has caused great dilemma in America. It was known as an adult disease. “Over two thirds of adults are over weight or obese.”(Obesity, Jerry R Ballenttne) these numbers are increasing rapidly. Obesity is not just a appearance
It was merely a decade ago that the obesity epidemic was thought to only be a minor problem and had only alarmed a small number of endocrinologists interested by the size of the situation (James, 2008). However today, the problem of obesity is vast with more awareness of its presence by doctors and individuals alike. In fact, the Center for Disease Control and Prevention states, “More than one-third (34.9% or 78.6 million) of U.S. adults are obese (CDC, 2014)”. These numbers are outrageous and eye opening, leaving millions looking for a solution to this troubling epidemic. Obesity is not simply a cosmetic flaw as some might think, but is actually a very dangerous state of being for any individual to sustain long-term. Mentioned further in
Since behavior is regulated by its consequences (but only as those consequences are interpreted and understood by man) (Edleman & Mandle, 1998), it is nursing's practice to assist man by working with beliefs, attitudes, values and environment to help achieve positive outcomes and efficacy expectation. Nursing is also responsible to assist man to realize outcome expectations.
Growing up, my father often said something in Spanish to the effects of “I don’t have all the answers or resources to change the world, but I can change my community, right now, so I will.” He continues to teach me the value of compassion, perseverance, and education, in seeking those answers and obtaining those resources. I learned to look for opportunities to impact my community, especially marginalized groups, to do the same. In high school, I served as a Peer Assistant Listener (PAL), a mentorship program established after a period of high suicide incidents in the area.
Our society today suffers from multiple diseases. Diseases range from cancer, HIV, diabetes, and mental illness. What people do not usually think about as a disease is bullying. Bullying is one of those diseases that is a major problem is human lives. Bullying is an act that harms many people around the world, especially here in the United States of America.“Bullying can defined by many things. It’s teasing, name calling, stereotyping, cyber bullying, fighting, exclusion, spreading rumors, public shaming, and aggression intimidation” (Strickland). According to educational reports, an average of 15% of children in elementary school are in involved in bullying (Ross). This high of a percentage proves that bullying is still a major problem today in American society. While the percentage is not close to a hundred, those 15% of young children are affected enough. Fifteen percent of young children being bullied is more than enough to prove that bullying should be frowned upon. “[Bullying] can be in person and online. But it can often be considered a rite of passage” (Strickland). Bullying causes a variety of problems. The problems are not only in young people, but also adults who were bullied before. To cure this epidemic, it would be beneficial to society if society was informed about these negative effects.
“The major goals of health promotion are to help people of all ages stay healthy, optimize health in cases of chronic disease or disability, and create healthy environments” (Pender et al., 2015). This health promotion project is designed to identify and reduce the risk factors associated with several illnesses and disease processes. This project will focus on changing lifestyle behaviors and providing up to date education for the patient to make the best informed decision regarding her environment, health behaviors, and developing a support system with her primary care physician.