An individual health is influenced by their choices that can be good or bad. And
these choices or factors are referred as determinants of health. The determinant of health
fall under sub categories of policymaking, social factors, health services, individual
behavior, and biology genetics. Determinants of health reach beyond the boundaries of
traditional health care and public health sectors; sectors such as education, housing,
transportation, agriculture, and environment can be important allies in improving
population health (Healthypeopley2020, 2014). As a future advanced practice nurse, it
will be my responsibility to teach my patient regarding health determinants. Being a
knowledgeable about their health determinants my patients can better manage their health
and/or can prevent the disease process by following health lifestyle.
The patient and/or their family can easily modify their determinants like
individual behavior. The health determinants like individual behavior play an essential
part in illness free healthy outcome. Many public health and health care intervention
focus on changing individual behaviors such as substance abuse, diet, hand washing, and
physical activity (Healthypeople2020, 2014). During this week rotation, I witnessed a
Ms. S.P., thirteen-year old girl that arrived to clinic for cold like symptoms. When I
looked at the chart, I was shocked to see that this girl weight is over three hundred
pounds. Ms. S.P. has already been diagnosed with hypertension, diabetes, and obesity. I
was curious to know what made this child being so overweight than her cold symptoms.
As a provider, I can see this little girl is at the risk of developing chronic disease. I talked
to the parents and asked what was their opinion and what are they doing to prevent the
chronic disease. During my conversation, I found out overeating was the main root of the
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, problem. Parents stated she used to not eat and a very picky eater. When Ms. S.P. started
eating, it was all junk food and parents never tried to stop her because they were thinking
their little girl is at least eating something.
According to American Diabetes Association (ADA) (2014), American Indians
and Hispanic populations are 2.2 times more likely to develop diabetes and 95% of those
will have type 2 diabetes. During my conversation, I understood that parents also would
like to do something but do not know where to start. Parents education provided to
provide more vegetables than junk food, avoid beverages that are full of sugar such as
sodas or juices rather encourage to drink lots of water, choose lentils, beans, lean meat,
non-fat dairy milk over the fast food, help you child to stay active, and avoid sedentary
time. Parents educated that it will take time to make healthy habits; however, choosing a
small change in every day life can lead to a success. To help your child maintain a
healthy weight, balance the calories your child consumes from foods and beverages with
the calories your child uses through physical activity and normal growth (Centers for
Disease Control and Prevention, 2017).
Week 6
During my clinical rotation, one important thing that I learned from my preceptor
is when to refer a patient to specialist. My preceptor and I have sent many of our patients
to different specialists such as cardiac, dermatologist, orthopedic, and/or ophthalmologist.
This week, we saw an eleven year old Ms. R.N., who arrived with complain of red eyes.
Patient was diagnosed with conjunctivitis. Patient and mother refused vision change.
However, this was the fifth time patient been diagnosed with conjunctivitis. Fluorescein
eye stain was tested on patient and was negative for any abnormal finding. I asked my
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