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Journal: Health Promotion
Shantal Daponte
Nursing, Southern New Hampshire University
NUR-325
Professor Ryan Young
March 16th, 2024
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Health Promotion
In assessing 38-year-old Tina Jones, a 38-year-old African American female, the nurse
detected wheezing in her posterior left and right lower lobes. Diabetes and asthma have been
diagnosed in Tina's medical history. Wheezing occurs when air is squeezed through narrowed
airways, resulting in continuous high-pitched sounds (Jenson, 2023). During auscultation,
wheezing is audible during inspiration and expiration. According to Jenson when assessing a
patient, it is essential to question the patient about all aspects related to wheezing such as "any
difficulty breathing, any shortness of breath, any coughing, chest tightness, etc." (2023). In
adults, wheezing is caused by asthma or bronchitis. Once the underlying cause is treated,
wheezing in these circumstances usually goes away. Tina Jones states that she does not use
tobacco and is only exposed to secondhand smoke when she is out with her friends. The patient
did state that she used to smoke marijuana when she was in high school and currently does not
use it anymore. Additionally, the patient states that her sister also has asthma, and that when she
is around cats her asthma acts up.
Healthy People 2030 & Health Literacy
Scientifically based, Healthy People reflects feedback from a variety of organizations and
individuals over a multi-year period. Through collaboration between communities and
information dissemination, Healthy People 2030 identifies needs in health across the country,
offers improvements, and increases awareness (Healthy People 2030, n.d.). According to the
National Heart Lung and Blood institute it is imperative to Identifying symptoms of an
exacerbation and adjusting medications, as well as removing oneself from any environmental
factors that may contribute to the exacerbation (2012). Tina should try to keep her distance from
cats and anyone that smokes. Based on Tina Jones' interview and assessment, she needs
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additional information about her health status and management of her illnesses. According to
Wilson (2009), "health literacy is a crucial component of managing your health and navigating a
complex technological healthcare system in the United States". Information about health can be
confusing for many people.
To provide information to Tina, this nurse would start by asking her what her illness is.
Using a teach back system, once she has expressed what she knows this nurse will educate her on
a level suitable to her, so that she can repeat back what is said in her own words. There are
several factors that need to be considered, including language barriers, education level, and
ability to read. It is often helpful to offer videos and pamphlets that are easy to read. In addition
to providing actual care, it is important to provide all available resources to a patient. Tina is
aware of the triggers associated with her asthma and takes steps to prevent exacerbations. Tina is
currently pursuing a bachelor's degree in college and can read. While she knows a lot about some
aspects of her health, she still lacks understanding in others. The nurse's responsibility is to
ensure the patient is confident about her health status and the end of our time together.
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References
Asthma Care Quick Reference. (2012). National Heart Lung and Blood Institute.
file:///Users/shantaldaponte/Downloads/12-5075.pdf
Healthy People 2030 Framework. (n.d.). Healthy People 2030.
https://health.gov/healthypeople/about/healthy-people-2030-framework#:~:text=Healthy
%20People%202030's%20overarching%20goals,and%20well%2Dbeing%20of%20all.
Jensen, S. (2023). Nursing health assessment: A clinical judgment approach (4th ed.). Wolters
Kluwer Health.
Wilson, M. (2009). Readability and patient education materials used for low-income populations.
Clin Nurse Spec, 23(1), 33-40. https://pubmed.ncbi.nlm.nih.gov/19098513/
