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NR 536 Week 4 Discussion

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Chamberlain University

NR-536: Advanced Health Assessment, Pathophysiology & Pharmacology for Advanced Nursing Practice

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Cardiovascular Health Risks in Vulnerable Populations

As an MSN-prepared nurse leader in an outpatient cardiovascular clinic serving low-income and homeless individuals, the health risks specific to this vulnerable population are significant. Cardiovascular disease can exacerbate existing challenges, leading to conditions such as elevated cholesterol levels, uncontrolled hypertension, and diabetes. Stress, anxiety, and depression are common psychological risks that further compromise cardiovascular health. Additionally, lifestyle factors such as limited physical activity, poor diet, smoking, alcohol abuse, and substance use are prevalent among this group, significantly increasing their health risks. Addressing these issues requires understanding the unique vulnerabilities of this population and tailoring interventions to their specific needs.

Determinants of Cardiovascular Health

The physical and social determinants of health play a crucial role in influencing cardiovascular outcomes in low-income and homeless populations. Limited access to healthcare resources, such as primary care clinics, mental health services, and support groups, hinders timely care. Economic instability restricts transportation options, making it difficult for patients to access medical appointments or additional support. Proximity to healthcare facilities further complicates access, especially when resources are scarce in their communities. Living conditions, including homelessness or residing in low-income areas, often expose individuals to unsanitary environments. These conditions also limit their ability to maintain nutritious diets, follow prescribed meal plans, or adhere to specific medical recommendations. Holistic assessment and intervention that consider physical, social, psychological, and spiritual factors are critical in promoting cardiovascular health within this population.

Person-Centered Care Strategies

Three person-centered care strategies can promote health within this population:

  1. Assessing the Patient’s Goals of Care: Collaborating with patients to identify their individual health goals provides a foundation for personalized education and resource allocation.
  2. Identifying and Assisting with Resources: Helping patients navigate available resources, including financial aid, transportation, and community support programs, ensures they can access the care they need.
  3. Providing Targeted Education: Offering education tailored to the patient’s goals promotes understanding and engagement. This approach empowers patients to take an active role in their health and supports ongoing maintenance and prevention.

Advanced Competency for Addressing Health Risks

Competency in advanced health assessment, pathophysiology, and pharmacology equips MSN-prepared nurses with the tools needed to address these health risks effectively. Advanced assessment skills enable nurses to identify early signs of cardiovascular risk and evaluate the complex interplay of comorbidities. Understanding pathophysiology helps in recognizing disease progression and planning appropriate interventions. Proficiency in pharmacology ensures safe and effective medication management, addressing individual patient needs and potential barriers. By leveraging these advanced skills, nurses can provide holistic, evidence-based care that improves outcomes for this vulnerable population.


Table Representation

HeadingDescription
Cardiovascular Health RisksHealth risks include elevated cholesterol, uncontrolled hypertension, diabetes, stress, anxiety, depression, limited physical activity, poor diet, smoking, and substance use.
Determinants of HealthBarriers such as limited healthcare access, economic instability, transportation issues, and unsanitary living conditions affect cardiovascular health.
Person-Centered StrategiesKey strategies include goal-setting with patients, resource identification, and tailored education to empower individuals and promote self-care.

References

American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

World Health Organization. (2021). Social determinants of health. Retrieved from https://www.who.int

NR 536 Week 4 Discussion

U.S. Department of Health and Human Services. (2020). Healthy People 2030: Social determinants of health. Retrieved from https://health.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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