Health Promotion in Nursing Practice: Term Paper

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It is important to remember the role of weight loss in diabetes health promotion and maintaining a healthy lifestyle. A nurse must stress the need for caloric limitation, as well as merely monitoring blood sugar and consumption of high-sugar foods, as fat-dense, high calorie foods that contribute to obesity can be equally dangerous. (Dyson, 2004, p.1) This can be difficult when patients do not experience complications from their condition, but merely have diabetes as a silent presence in their lives. Nurses must provide support to making lifestyle changes, and accomodating cultural tastes and needs, as well understanding as psychological conflicts over conflicting media advice when ensuring that the secondary health promotion intervention is effective.

Article 3: Tertiary

Jensen, Gordon L. & Janet M. Friedman, Donna Henry K, Annalynn Skipper, et.al. (Jan/Feb 2003). "Noncompliance with body weight measurement in tertiary care teaching hospitals." JPEN: Journal of Parenteral and Enteral Nutrition. Retrieved 11 Dec 2006 at http://findarticles.com/p/articles/mi_qa3762/is_200301/ai_n9171099

Information is key to providing advice for patients. However, weight is often a sensitive issue. A study of 300 patients, aged >=18 years that were admitted to general medicine and surgery services of 3 tertiary care teaching hospitals in Nashville, Chicago, and San Francisco, at 24 to 36 hours after admission, participants were asked if they had been weighed, and if not, they were asked whether they had been questioned by nursing personnel about their weight. It was found, unsurprisingly that patients were often unwilling or innacurate in the weight they volunteered to nurses, as opposed to patients weighed in hosptial gowns.

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Overall, the conclusions of the study suggested the importance of understanding the psychological accuracy of weight, and also volunteered information in regards to daily eating and exercise habits, when attempting to mitigate the damage of patients with unhealthy lifestyles admitted to the hospital for health complications related to lifestyle issues.

Conclusion

In all of these articles, health promotion is defined as enabling the individual to engage in more effective self-monitoring and self-care, not simply on a physical level, but on a psychological level, as away from the nurse's immediate supervison, the patient must continue to monitor his or her exercise, diet, and other aspects of health. The purpose of health promotion in nursing practice is to promote a desire for healthy 'habits,' to enable such habits to be psychologically feasible for the patient, and to impress upon the patient the positive results of such habits, even if these actions may not be immediately manifest -- i.e. weight loss on a primary level might not be immeidately obvious, the long-term consequences of high blood sugar might not be currently problematic for the patient, etc. Nursing roles and responsibilities evolving in health promotion are thus holistic, and even nurses not explicitly involved in daily care, such as nurses involved in hospital work, can help to implement health promotion by ensuring that the patient understands the impact of lifestyle and its role in daily health, and the role of accurate information and monitoring of their lifestyle in the prevention and treatment health conditions.

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