Dr. Bartelt and Class,
Provide a brief statement introducing the selected practice problem.
For this discussion, I chose chapter 10 on chronic disease. Chronic disease, although treatable, is likely not curable and persist over time and may have an impact to the patient’s quality of life. Chronic diseases include stroke, heart disease, obesity, type 2 diabetes, arthritis, cancer, and respiratory illness. Treatments are costly and many people have more than one chronic disease (Allen, 2018).
Identify the social determinant risk factors for the selected practice problem.
There are many risk factors that can increase the likelihood of acquiring a chronic disease. Risk factors for acquiring heart disease, among other chronic diseases, include high alcohol consumption, limited physical mobility, poor diet, smoking, and drug abuse all of which are preventable behaviors or when present can be eliminated or decreased through treatment and counseling practices. In addition, there are social determinates that impact health and chronic disease. These include socioeconomic level, race, gender, educational level, and geographic location (Allen, 2018). Social determinants have a direct impact on health, quality of life, and functioning outcomes (ODPHP, 2021). In addition to the social determinants listed previously, one must also consider the impact of financial health on health. Financial health can impact an individuals ability to pay for treatment practices, afford healthy nutritional diet, and may impact the persons ability to seek routine checkups and preventative screenings (Weida et al., 2020).
Describe a related Healthy People 2020 Goal.
The Department of Health and Human Services (HHS) implemented Healthy People 2020 which has four overarching goals that was launched in December 2010. Of those four overarching goals, one of the goals related directly to chronic disease is “attain high-quality, longer lives free of preventable disease, disability, injury, and premature death” (CDC, 2020).
Describe one evidence-based intervention to address the Healthy People 2020 goal.
Rehabilitation programs driven by therapists and counselors are aimed at individualized patient-centered interventions to meet patient needs (Simonelli et al, 2020). An evidence-based intervention that can be implemented to address the goal mentioned above is increasing access to parks and safe sidewalks which increases physical activity in adults and adolescents. In addition, education can promote healthy behaviors through improving nutritional diets, identification of healthy choices such as increased activity and smoking cessation programs. This can be accomplished through regular checkups and getting all recommended screenings and immunizations (ODPHP, 2021).
Define one measurable objective to address the Healthy People 2020 goal.
A measurable objective to address chronic heart disease, as one of the chronic diseases, is to improve cardiovascular health through activity and dietary modifications which can be implemented through clinical counseling that addresses a healthful diet and physical activity parameters (U.S. Preventive Services Task Force, 2017). This objective can be measured through gaining a baseline analysis of dietary and physical activity habits of the demographic population. Post-intervention analysis data can then be compared to pre-intervention data to identify the percent of improvement of healthy lifestyle interventions and health promotion. A method to track physical activity is through activity trackers such as watches or pendants that track movement, some of which also track heart rate and oxygen saturation (Anderson et al., 2020).
Allen, S.R. (2018). Chronic disease. In M.A. Bemker & C. Ralyea (Eds.), Population Health and its Integration into Avanced Nursing Practice. (pp. 241-266). DEStech Publications, Inc.
Andersen, T.O., Langstrup, H., & Lomborg, S. (2020). Experiences with wearable activity data during self-care by chronic heart patients: qualitative study. Journal of Medical Internet Research, 22(7), 1438-8871. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=32706663&site=eds-live&scope=site (Links to an external site.)
Centers for Disease Control and Prevention (CDC). (2020, December 14). Healthy people 2020. https://www.cdc.gov/nchs/healthy_people/hp2020.htm (Links to an external site.)
Office of Disease Prevention and Health Promotion (ODPHP). (2021, May 27). Social determinants. https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Social-Determinants (Links to an external site.)
U.S. Preventive Services Task Force. (2017, July 11). Healthful diet and physical activity for cardiovascular disease prevention in adults without known risk factors: behavioral counseling. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling?ds=1&s=healthful%20diet (Links to an external site.)
Simonelli, C., Vitacca, M., Ambrosino, N., Scalvini, S., Rivadossi, F., Saleri, M., Fokom, A.G., Speltoni, I., Ghirardi, R., & Paneroni, M. (2020). Therapist driven rehabilitation protocol for patients with chronic heart and lung disease: a real-life study. International Journal of Environmental Research and Public Health, 17(30, 1016. https://www.mdpi.com/1660-4601/17/3/1016 (Links to an external site.)
Weida, E.B., Phojanakong, P., Patel, F., & Chilton, M. (2020). Financial health as a measurable social determinant of health. PLoS ONE, 15(5), e0233359. https://doi.org/10.1371/journal.pone.02333
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