please write discussion replies
Reply # 1 Tyneal Module 7 Case 2 Middle-Aged Changes According to Pinto Pereira and Power (2019), the changes that occur in middle aged adults can be overwhelming at times. Many middle-aged adults report that they have decreased in activity, increased health issues, and increased joint pain. They continue that there can be a difference in level of mental health as it relates to income status and changes in life regarding children leaving the home or marital issues. Overall, there are many changes that occur at any stage in life, and it is important to accept and take care of ourselves at each stage. Contraceptive Selection On advising young adults on selecting the appropriate contraceptive methods I would choose an approach that was very inclusive. I would first present all options to the young adult and see which method would fit their lifestyle the best. I would also obtain an accurate health history to ensure that it was the safest method based on the number of partners and ability to follow up for refills. Personally, I do not have any personal, religious or discomforts that would affect my ability to prescribe medications tell young adults. Each person has autonomy with their body, and they can make the choices that fit them best. Smoking Cessation When teaching students to develop a smoking cessation plan for a client, I would discuss with them the appropriate research methods that would need to take place. I would also discuss with them the different options that are available when talking about quitting smoking. It is important to note that quitting smoking is not just a straightforward process and can require a very long-term approach that requires therapy and multiple different medications. It is important to discuss that there needs to be open conversations and to ensure that the intention is there before implementing certain approaches. Poverty According to Choi et al. (2019), poverty in older adults is associated with a number of different risks not only for social but also mental health. They discuss in the study that the rates of suicide increased significantly in those who are poverty stricken as they experience more health impacts and are not able to appropriately care for themselves at times. They continue that many times in those that experience poverty there’s other health or mental factors at play that also contribute to the overall risks of depression and suicide. Some of the ways to promote health in this population are to increase education, increase community approaches to enhanced nutrition and support groups. Many times, limited access to food and resources plays a vital role in mental and social health and doing everything that we can to promote health within this population is essential. References Choi, J. W., Kim, T. H., Shin, J., & Han, E. (2019). Poverty and suicide risk in older adults: a retrospective longitudinal cohort study. International journal of geriatric psychiatry, 34(11), 1565-1571. https://doi.org/10.1002/gps.5166Links to an external site. Pinto Pereira, S. M., & Power, C. (2019). Change in health and social factors in midadulthood and corresponding changes in leisure-time physical inactivity in a prospective cohort. The international journal of behavioral nutrition and physical activity, 15(1), 89. https://doi.org/10.1186/s12966-018-0723-zLinks to an external site. Reply #2 Jessica Health Promotion and Middle Aged Adults ; Case #3 R.K undoubtedly holds an important position as a home health and primary care to an underserved population such as Medicare. Though many of these patients are too sick to engage in activities and be able to apply any education provided, but the patients that are diabetic with slow healing wounds may benefit from diabetes education. The senior community as a whole may benefit from diabetes education and reevaluation of the food being served there. Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty. The Centers for disease control and prevention (2023) recommends that adults over the age of 65 engage 150 minutes of moderate aerobic activity per week such as brisk walking, swim aerobics, chair aerobics or more if tolerable. Two days of activities which strengthen muscles are also recommended each week. Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts? Young Adults selecting contraceptive methods is ultimately a personal choice. The methods I offer will be solely based off the patients’ health and associated risks, their sexual habits such as multiple partners, their socioeconomic and financial status, their access to fill prescriptions and their personal preference upon education for each option (Madden, 2015). I do not have any personal or religious discomforts or reservations. The only caution I have is based on the patients’ health, with risks such as smoking because smoking increases the risk of thrombosis while on hormonal contraceptives (Wiegratz et al., 2019). Develop a smoking cessation plan for a client. American Heart Association (2024) recommends five steps to quit smoking and vaping. These steps include choosing a definitive quit date, choosing your method such as cold turkey or assisted, talking to your healthcare provider for medication assistance if needed, make a plan for your quit day to include healthy satiating snacks and productive activities, and make the commitment to yourself that this is the last time you quit. Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations. Font and Maguire-Jack (2020) describe the impact children, young adults, and older adults as directly correlating to poor physical and mental health outcomes due to exposure to violence, abuse, lack of resources, and lack of proper nutrition. These individuals tend to have lower levels of education, and higher instances of mental illness. A lifetime of limited resources significantly decreases both quality and length of life. Health promotion recommendations would be to seek resources such as healthy food markets, church drives, educational classes provided by public health entities, and free exercise programs such as community yoga. References American Heart Association (2024) Five steps to Quit Smoking and Vaping. https://www.heart.org/en/healthy-living/healthy-lifestyle/quit-smoking-tobacco/5-steps-toquit-smoking Centers for Disease control and Prevention (2023) Physical activity; Adding Physical activity as an older adult. https://www.cdc.gov/physicalactivity/basics/adding-pa/activitiesolderadults.htmLinks to an external site.. Font, S. A., & Maguire-Jack, K. (2020). It’s not “Just poverty”: Educational, social, and economic functioning among young adults exposed to childhood neglect, abuse, and poverty. Child Abuse & Neglect. Madden, T., Secura, G. M., Nease, R. F., Politi, M. C., & Peipert, J. F. (2015). The role of contraceptive attributes in women’s contraceptive decision making. American journal of obstetrics and gynecology. Wiegratz, I., Thaler, C., Heinemann, L., Dinger, J., Linnemann, B., Bauersachs, R., … & Marten, S. (2019). Birth control pills and thrombotic risks: differences of contraception methods with and without estrogen. Hamostaseologie.
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