Research Paper: Health Prevention Planning

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[. . .] , 2011, p 36-40). This will help them discover any red flags and get them more aware of their health.

Secondary Level

Blood pressure issues may get worse for this demographic. Essentially, "blood-pressure would be checked in a patient with no symptoms of hypertension, and if elevated, a plan of treatment would be instituted. The goal was and is maintaining the patient's blood pressure within normal limits and hopefully minimizing the development of catastrophic complications such as stroke or myocardial infarction" (Dunphy et al., 2011, p 25). Again, blood pressure checks can be used by contacting the American Heart Association for getting the Check, Change, and Control program on board (American Heart Association, 2014). These individuals also spend a majority of their time at work, probably more so than any of the other three age groups. Thus, it would be most productive to offer local businesses and parks near crowded downtown business districts a chance to hold their own blood pressure testing event. Local businesses can be contacted via direct mail or telephone calls to ask if they would like to hold an event or to inform them that an event is taking place nearby at a local office or public facility. References to local physicians for LDL and HDL screens can also be provided at such events. Essentially, the thinking here is "the earlier disease is identified, the easier it is to treat and have a successful outcome" (Dunphy et al., 2011, p 25). Thus, constant monitoring is crucial to catch anything early on. Also to be used here is Heart 360 to keep up records and keep participants active in monitoring their health.

Tertiary Level

Again, Lipitor is the best option for CAD. For hypertension treatment, Lisinopril.

Age Group 50-60

All members are now in the Generativity vs. Stagnation stage, where they focus most on care. The research suggests they "give back to society through raising our children, being productive at work, and becoming involved in community activities and organizations" (McLeod, 2010). Thus, community activism will prove much stronger than the use of social networking platforms for this group.

Primary Level

Community programs offered at local churches and parks will offer health and nutrition education modeling a healthy lifestyle, smoking counseling to help individuals quit, exercise and weight control, and stress reduction techniques. Here, the research suggests that "offering forums for dialogue between healthcare providers and local citizens is an excellent way to educate a broader audience" (Dunphy et al., 2011, p 32). Individuals in the Generativity vs. Stagnation phase respond better to community action, as they feel like they are part of a larger whole and can contribute to the health success of the larger group. Thus, "those who are successful during this phase will feel that they are contributing to the world by being active in their home and community" (Cherry, 2012). Community programs also provide the level of support these individuals need to feel proud of their health accomplishments, which also correlates to this age group's developmental stage. Such team-based care strategies make individuals accountable for their progress. Thus, this can focus on "forming teams that include the patient, the patient's primary care provider and other professionals such as nurses, pharmacists, dietitians, social workers, and community health workers," (Community Preventative Services Task Force, 2012). Group members can work together with each other and health care workers. Ultimately, "complementing the role of the primary care provider by having the team support and share responsibilities for hypertension care, such as medication management, patient follow-up, and helping the patient adhere to their blood pressure control plan including health behavior change" (Community Preventative Services Task Force, 2012).

Prevention methods can also be done through classes discussing the financial cost of heart disease. Here, the research suggests that "total annual costs associated with hypertension are $156 billion, including medical costs of $131 billion and lost productivity costs of $25 billion" (Community Preventative Services Task Force, 2012). Since this age group is either retired, or planning for retirement, it is crucial to bring up the financial factor involved with chronic heart conditions. Thus community lesson plans can use case studies to illustrate example costs of chronic cardiovascular health concerns in order to educate the age group about how much such conditions can cost. This will hopefully shock them into a state where they want to make lifestyle changes, even dramatic ones, in order to prevent them from incurring such costs. They can focus on showing how preventative care and lifestyle modifications can result in enormous savings on health insurance costs and claims. Lesson plans can use the Summary Evidence Table provided in the PDF form from the Community Preventative Services Task Force (2014) on their website.

Secondary Level

Again, there is the use the "Primary Health Promotion Assessment Form" (Dunphy et al., 2011, p 36-40). Blood pressure checks can take place at local community recreation centers and parks, where there is space for community meetings and classes. Once again, working with the American Heart Association is the best strategy here to implement volunteers to give out free blood pressure tests and advice (American Heart Association, 2014). Since most of this group is either retired or already involved with some community group or church, more public sites would be a better choice. Local churches and park recreation centers can be called to ask if they would like to hold an event, or to inform their members that an event is occurring nearby at another public facility. Heart 360 tools will also be used here/

Tertiary Level

Hypertension treatment with Lisinopril is key at this stage. According to the research, it is "used to improve survival after a heart attack" (American Society of Health-System Pharmacists, 2014). Since this is the age group that will probably have the larger number of existing diagnoses and potential heart attack victims, it will be used most within this age category.

References

American Heart Association. (2014). Check. Change. Control: Blood pressure program. Conditions. Web. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/HighBloodPressureToolsResources/Check-Change-Control-Blood-Pressure-Program_UCM_449318_Article.jsp

American Society of Health-System Pharmacists. (2014). Lisinopril. Medicine Plus. Web. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a692051.html

Black, Donald M., Bakker-Arkema, Nawrocki, James. (1998). An overview of clinical safety profile of Astrovastatin (Lipitor), a new HMG-CoA reductase inhibitor. Journal of the American Medical Association, 158(6), 577-584.

Cherry, Kendra. (2012). Erikson's stages of psychosocial development: Young Adulthood, middle age, and old age. Psychological Theories. Web. http://psychology.about.com/od/psychosocialtheories/a/psychosocial_3.htm

Community Preventative Services Task Force. (2012). Community preventative services task force recommends team-based care to improve blood-pressure control. Community Guide News. Web. http://www.thecommunityguide.org/news/2012/CVDTeamBasedCare.html

Community Preventative Services Task Force. (2013). Cardiovascular disease prevention and control: Reducing out-of-pocket costs for Cardiovascular disease preventative services for patients with high cholesterol. The Guide to Community Preventative Services. Web. http://www.thecommunityguide.org/cvd/ROPC.html

Heart360. (2014). American Heart Association, American Stroke Association. Web. https://www.heart360.org/

Dunphy, Lynne, Porter, Bryan O., Winland-Brown, Jill E. & Thomas, Debera J. (2011).Primary Care: The Art and Science of Advanced Practice Nursing. 3rd ed. F.A. Davis Company.… [END OF PREVIEW]

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Health Prevention Planning.  (2014, March 21).  Retrieved July 22, 2019, from https://www.essaytown.com/subjects/paper/health-prevention-planning/4347084

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"Health Prevention Planning."  Essaytown.com.  March 21, 2014.  Accessed July 22, 2019.
https://www.essaytown.com/subjects/paper/health-prevention-planning/4347084.