week 15 course reflexion Community Nurse

Institutional Affiliation:

Question A

Yes- because he has increased rate of obesity, which means he is subjected to obesity and related chronic diseases which is almost familiar to children and youth who live in urban areas. (Corvalán, 2008). Jeff has a risk for the number of conditions, including the following: diabetes- type 2 was mostly referred as adult-onset. Diabetes disease nowadays proves to be a challenge to young children and adolescents research which was done by Disease Control and Prevention ( CDC ) got an estimation of 1 in 3 children born in 2000 will get diabetes in future. Heart disease mostly atherosclerosis (hardening of arteries) research has shown it begins in the early stage of children and also adolescent with risk factors. These diseases mostly lead to a heart attack which can be a cause of death. High blood pressure, also known as Hypertension, is caused by overweight due to straining of the heart. Metabolic syndrome- between 25 to 40 percent who have overweight is likely to suffer from this disease, which consists of: obesity, abnormal lipids, insulin resistance and high blood pressure.

Question B

Jeff has the following risk in adulthood: Hypertension which highly leads to death. The research was done in 2010 by the United States, which gives evidence that high BP is leading to death and disability-adjusted life-years worldwide and also had more CVD death than any other form of CVD risk factor. Even 50 percent of death from coronary heart diseases (CHD) and also stroke occurred to people with Hypertension. In North, Manhattan study has shown that a high number of women (32%) affected to Hypertension compared to men (19%) (Aboyans,2012). Epidemiological studies have also carried out research which shows high levels of both the SBP and DPB are mostly associated with CVD risk but independently.

Question C

Defining blood pressure of a child who is Jeff's age has been described as the elevation as ≥95th percentile (Daniels,2016). Use of percentile instead of absolute blood pressure measurement is most important to young children because of blood pressure change with growth and development during childhood, mostly during puberty or adolescents.

Question D

Physicians and health workers should make sure they promote good healthy living to each family unit by the following: first, they need to act as good role model to the families so that they can emulate them through their active lifestyle. They are inquiring to know about the nutritional intake of the families near them and also calculating and plotting BMI and suggesting healthy eating which includes a balanced diet which is indicated by AAP committee on nutrition (Barness,1981). Determining which physical activities that family have with regular health care visits. Make sure the schools near your home children are given time to have a physical play like work, part of the transportation of goods in the school and also recreation during PE at least 30 minutes a day. Identifying challenges that a child, adolescents or parent might have. These are barrier to their physical activeness which mostly includes lack of time, competing for interest, lack of motor coordination in children and also injuries and also financial and safety measure to the parent, try to give them a solution to their problems and how to overcome these barriers.

Reference

Barness, L. A. (1981). Committee on nutrition and the WHO code of marketing breastmilk substitutes. Paediatrics, 68(3), 430-431.

Daniels, S. R. (2016). How to define Hypertension in children and adolescents.

Murray, C. J., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., ... & Aboyans, V. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2197-2223.

Uauy, R., Kain, J., Mericq, V., Rojas, J., & Corvalán, C. (2008). Nutrition, child growth, and chronic disease prevention. Annals of medicine, 40(1), 11-20.