Exploring the concepts of health: Why is the way an individual defines health and health problems important? What are the implications for advanced practice nurses?
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Week 1: Discussion Question 1 – Foundations of Health Promotion
Exploring the concepts of health: Why is the way an individual defines health and health problems important? What are the implications for advanced practice nurses? Which theoretical model of health is of particular interest to you? Why?
Sample Expert Answer and Explanation
The way an individual defines health and health problems is important because it influences their perceptions, attitudes, and behaviors related to healthcare. Health is a multidimensional concept that encompasses not only the absence of disease but also physical, mental, and social well-being. Different individuals may have varying definitions of health based on their cultural, social, and personal experiences. Some may prioritize physical aspects, while others may emphasize mental or spiritual well-being (Alvidrez et al., 2019). Understanding how individuals define health allows healthcare providers, including advanced practice nurses, to tailor their care and interventions to meet the unique needs and goals of each individual.
By recognizing and respecting individuals’ diverse definitions of health, advanced practice nurses can foster a patient-centered approach to care. They can engage in open and non-judgmental discussions to explore patients’ beliefs and values regarding health, collaboratively setting goals and developing care plans that align with the patients’ own perspectives. This approach promotes patient autonomy, empowerment, and engagement in their own healthcare journey, ultimately leading to improved health outcomes.
One theoretical model of health that is of particular interest is the biopsychosocial model. This model recognizes that health and illness are influenced by biological, psychological, and social factors, emphasizing the interconnectedness of these domains (Frazier, 2020). The model acknowledges that physical health is not solely determined by biological factors but is also influenced by psychological and social aspects such as emotions, beliefs, social support, and socioeconomic factors.
This holistic perspective aligns well with the role of advanced practice nurses, who often provide comprehensive and integrated care to individuals across various healthcare settings. By considering the biopsychosocial dimensions of health, advanced practice nurses can address the complex interplay of factors that impact individuals’ well-being, offering holistic and patient-centered care.
References
Alvidrez, J., Castille, D., Laude-Sharp, M., Rosario, A., & Tabor, D. (2019). The national institute on minority health and health disparities research framework. American journal of public health, 109(S1), S16-S20.
Frazier, L. D. (2020). The past, present, and future of the biopsychosocial model: A review of The Biopsychosocial Model of Health and Disease: New philosophical and scientific developments by Derek Bolton and Grant Gillett. New Ideas in Psychology, 57, 100755.
Alternative Expert Answer
As medical professionals, we strive to provide information, support, and education to all of our patients. An essential aspect of providing quality patient care is being able to communicate effectively with our patients. The goal is to create a trusting relationship where we can speak openly and honestly so that our patients feel comfortable enough to ask questions and express their concerns about their health.
In order to fully understand where a patient is coming from or what their concerns are, we need to give them the opportunity to discuss their health and any health problems they feel are important. Suppose we do not provide a safe space for them to speak freely about their health concerns. In that case, patients tend to withhold pertinent information that can contribute to identifying a diagnosis for their health concerns or issues.
Advanced Practice Nurses (APNs) have contributed significantly to the physician shortage that continues to affect many communities, especially those patients residing in rural areas. These underserved communities benefit tremendously from having access to care that is provided by Advanced Practice Nurses that have filled the gap.
The theoretical model of health that is of interest to me is the health belief model. This model ties into the way a patient perceives their health concerns, which serves as a guide to disease prevention and health promotion. This approach contributes to conducting a thorough health assessment of patients, allowing us as APNs to get a clear picture of all the entities that have contributed to the patient’s current status and health concerns.
References
Karl, J. A., Fischer, R., Druică, E., Musso, F., & Stan, A. (2021, December 20). Testing the effectiveness of the health belief model in predicting preventive behavior during the COVID-19 pandemic: The case of Romania and Italy. Frontiers. https://www.frontiersin.org/articles/10.3389/fpsyg.2021.627575/full#:~:text=The%20HBM%20proved%20effective%20in,et%20al.%2C%202018).
Woo, B. F., Lee, J. X., & Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0237-9
Week 1: Discussion Question 2 – Vaccinations
Discussion Prompt
Locate current evidence based literature discussing the pros and cons of vaccinations. Include the controversy and how to approach a patient who inquires about the safeness of vaccination.
Sample Expert Answer and Explanation
Vaccinations are a critical public health intervention that has significantly reduced the incidence of many infectious diseases. The benefits of vaccinations include prevention of diseases, protection of individuals who cannot receive vaccines due to medical reasons, and the establishment of herd immunity, which helps safeguard vulnerable populations. Vaccinations have been extensively studied and proven to be safe and effective in preventing diseases (Rahman & Islam, 2021). There are some individuals and groups who hold concerns or misinformation about vaccines. These concerns may stem from fears about potential side effects, perceptions of vaccine efficacy, religious or philosophical beliefs, or misinformation spread through social media or other sources.
It is important for advanced practice nurses to approach these concerns with empathy, understanding, and evidence-based information to address any misconceptions and promote informed decision-making regarding vaccinations. By fostering open and respectful communication, nurses can play a vital role in educating patients, addressing their concerns, and promoting the overall benefits of vaccinations for individual and public health.
When approaching a patient who inquiries about the safeness of vaccination, it is crucial to provide evidence-based information in a clear and empathetic manner. Start by actively listening to the patient’s concerns and addressing them with accurate and reliable information (DeStefano et al., 2019). Provide educational materials or reputable resources to support your discussion. Highlight the benefits of vaccination, including the reduction of disease risks and protection of the community. Emphasize the extensive research and rigorous safety protocols that vaccines undergo before they are approved for use. It is also important to respect the patient’s autonomy and engage in shared decision-making, allowing them to express their concerns and actively participate in the decision-making process.
References
DeStefano, F., Bodenstab, H. M., & Offit, P. A. (2019). Principal controversies in vaccine safety in the United States. Clinical Infectious Diseases, 69(4), 726-731.
Rahman, M. A., & Islam, M. S. (2021). Early approval of COVID-19 vaccines: Pros and cons. Human Vaccines & Immunotherapeutics, 17(10), 3288-3296.
Alternative Expert Answer
Many individuals find the issue of vaccinations to be controversial, and this is especially true in light of the most recent COVID vaccines. Following their pediatrician’s explanation of the benefits and drawbacks of each vaccination, parents should make this choice. Everyone should have the chance to make an informed decision for their family since no vaccination is completely safe or effective (Centers for Disease Control and Prevention [CDC], 2023).
Pros: According to the Centers for Disease Control (CDC), between 1994 and 2018, childhood vaccination avoided around 419 million illnesses, 26.8 million hospitalizations, and 936,000 infant deaths (Centers for Disease Control and Prevention [CDC], 2023). Additionally, according to the CDC, the measles vaccination has reduced death rates among children by 74% (Simons et al., 2012). We can now protect newborns and young children from 14 vaccine-preventable illnesses before they turn two years of age through vaccines. When a necessary proportion of those who can be immunized are, an outbreak can be stopped thanks to herd immunity.
Cons: According to the CDC, one child out of every million may experience anaphylaxis, a potentially fatal allergic reaction (CDC, 2023). Children may experience other negative effects in addition to anaphylactic response. One in 20,000 infants who receive the rotavirus vaccine may develop intussusception, a kind of intestinal obstruction that may necessitate hospitalization (CDC, 2023). The DTaP (diphtheria, tetanus, and pertussis) and MMR (Measles, Mumps, Rubella) vaccinations may be linked to long-term seizures, comas, reduced awareness, and chronic brain damage, while the CDC adds that the reaction is uncommon, making it difficult to pinpoint its cause (CDC, 2023).
It’s crucial to listen intently when speaking with a patient who has concerns about vaccinations. Never belittle, chastise, or look down on patients for asking questions. Giving students the best education possible should always be the provider’s goal. Spend some time talking about their issues and address each one with an open mind. Patients who feel heard are more inclined to follow your advice.
References
Centers for Disease Control and Prevention. (2023, April 27). Acip adverse reactions guidelines for immunization. Center for disease control and prevention. Retrieved July 1, 2023, from https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/adverse-reactions.html
Centers for Disease Control and Prevention. (2023, June 23). National infant immunization week (niiw). Centers for disease control and prevention. Retrieved July 1, 2023, from https://www.cdc.gov/vaccines/events/niiw/index.html
Centers for Disease Control and Prevention. (2023, April 26). Possible side effects from vaccines. Center for disease control and prevention. Retrieved July 1, 2023, from https://www.cdc.gov/vaccines/vac-gen/side-effects.htm
Centers for Disease Control and Prevention. (2023, April 26). Surveillance for adverse events using vaers. Retrieved July 1, 2023, from https://www.cdc.gov/vaccines/pubs/surv-manual/chpt21-surv-adverse-events.html
Simons, E., Ferrari, M., Fricks, J., Wannemuehler, K., Anand, A., Burton, A., & Strebel, P. (2012). Assessment of the 2010 global measles mortality reduction goal: Results from a model of surveillance data. The Lancet, 379(9832), 2173–2178. Retrieved July 1, 2023, from https://doi.org/10.1016/s0140-6736(12)60522-4
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