Case Study #2 CARDINAL As the community health nurse for this population that has rates of type 2 diabetes that are twice as high as the national average, poverty rates 2.5 times higher than the national average, and childhood obesity rates that are increasing by 30% every five years, you need to engage in primary, secondary and tertiary prevention level interventions to manage the health of the population. Select the appropriate intervention or prevention level in each question below and explain your rationale. Which reflects primary prevention for poverty? 1. Helping a client fill out a Medicaid application. 2. Providing a free GED class for the community. 3. Improving the quality of public housing. 4. Educating the community on available government resources Why is this answer correct? Why aren’t the others? Providing a free GED class for the community would be an example of primary prevention for poverty. Primary prevention is when a person is trying to solve a solution to a problem before a problem could arise. Offering a free GED class for the community can help with appropriate employment opportunities for those who are needing to advance employment or for more adequate employment. The others are resources available for those who are already with financial difficulties but are facing continuous struggles. The rest would fall under secondary prevention. Stanhope, M., Lancaster, J., & Stanhope, M. (2022). Foundations for Population Health in Community/Public Health Nursing. Elsevier. The nurse designs a program that teaches expecting parents and/or new parents on the risks of childhood obesity and ways to reduce the risk of obesity in their children. Which preventive level does this reflect? 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Not an appropriate intervention for this problem Why is this answer correct? Why aren’t the others? Teaching a program to expecting parents or new parents on the risk of childhood obesity would fall under primary prevention. The teaching would be beneficial for the parents so they understand how serious the disease is, and what steps that they can to take to prevent it from developing in their children. Secondary prevention and Tertiary prevention would be when the child has already developed the disease, or possibly making the disease worse. In that case the parents would need educational plans on how to prevent other diseases from progressing. Stanhope, M., Lancaster, J., & Stanhope, M. (2022). Foundations for Population Health in Community/Public Health Nursing. Elsevier. Which reflects tertiary prevention for Type 2 diabetes? 1. Creating a website that tracks and displays rates of newly diagnosed cases 2. Educating adolescents on maintaining a normal BMI throughout the life span 3. Encouraging clients with diabetes to “find a buddy” to exercise with regularly 4. Providing blood glucose checks at local health fairs throughout the community Why is this answer correct? Why aren’t the others? Tertiary prevention for Type 2 diabetes would be encouraging clients with diabetes to “find a buddy” to exercise with regularly. Tertiary prevention is preventing the disease from progressing to more severe conditions that could follow along with Type 2 diabetes such as heart disease, or kidney disease. The other answers would follow along with Primary prevention or Secondary prevention. Since the patient has already been diagnosed with Type 2 diabetes, then the rest would not be an appropriate answer. Reference Stanhope, M., Lancaster, J., & Stanhope, M. (2022). Foundations for Population Health in Community/Public Health Nursing. Elsevier.
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