According to the CDC, 50% of African American women, 40% of Mexican women, and 30% of Caucasian women are obese and therefore at risk for development of type 2 diabetes. Improved screening and education strategies are necessary in reversing the trend of this devastating chronic disease. Morbidity and Mortality “In the United States, an estimated 7% of the population, (20.8 million people), have diabetes mellitus; 14.6 million people have been diagnosed and 6.2 million remain undiagnosed. In addition, approximately 41 million Americans have prediabetes, which may eventually lead to a clinical diagnosis of diabetes,” (DISEASEDEX, 2012). In 2009, diabetes was the cause of death in 150 women in Allegheny County alone, (PA Department of Health, 2009).
In the UK, diabetes affects approximately 2.8 million people. More than one million people are thought to have undiagnosed type 2 diabetes. Type 2 diabetes is far more common than type 1 diabetes, which occurs when the body does not produce any insulin at all. Around 90% of all adults in the UK with diabetes have type 2 diabetes. Cardiovascular diseases account for more than 150,000 deaths a year in the United Kingdom.
As well as the teaching requirements from the case study with two measurable learning objectives from each of the domains (cognitive, affective, and psychomotor), and the psychosocial challenges that Angelo encounters. Incidence of Diabetes in the United States Diabetes is increasing worldwide, including seeing an earlier increased onset of type two diabetes. According to the American Diabetes Association, almost 26 million Americans have diabetes, including greater than 10% of the total adult population and over 25% of the population 65 and older. The majority of the 26 million have type two diabetes and almost one million Americans suffer from type one diabetes (Fronseca, Kirkman, Darsow, & Ratner, 2012). Presenting Signs of Diabetes Typical signs of diabetes include excessive thirst (polydipsia), excessive urination (polyuria), or excessive hunger (polyphagia).
Cardiac arrhythmias affect more than 700,000 people in England is one of the top ten reasons for hospital admission (Department of Health 2005). Atrial fibrillation (AF) is the most common and important cardiac arrhythmia, it the most common of all the arrhythmias seen in general practice. AF affects 5% of the UK population over the age of 65 years, rising to 10% in those over 75 years of age (Kirby 2005). The principal significance, both to the patient and the healthcare system is the increased risk of embolic stroke. Atrial fibrillation is associated with 15% of all strokes and with 36% of strokes in patients over the age of 60 (Hobbs 1999).
Unit F/602/0097 Understand mental well-being and mental health promotion With the certainty that 1 in 4 people will experience some kind of mental health problem in the course of a year, it's no surprise that the UK's interest in this field has increased. Amongst people over 65 years old, half of the illnesses are mental illnesses and costing NHS over £105 a year (total economic and social cost) the pressure is high for NHS to understand mental well being and mental health problems. There are different definitions in literature to describe mental health and mental well-being, such as: ✓ "Mental well-being is a dynamic state in which the individual is able to develop their potential, work productively and creatively, build strong and positive relationships with others and contribute to their community. It is enhanced when an individual is able to fulfil their personal and social goals and achieve a sense of purpose in society." ✓ "Mental health is defined as state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community."
The cost is expected to sky rocket well into the 800 billion dollar range by 2020. Obesity is also known to be a large contributor to diabetes, nearly 17 million Americans with diabetes and 16 million with pre-diabetes. Diabetes cost
There are many community based issues that falls under the goals of Healthy People 2020 that needs public healthcare and nursing intervention. The three Community Nursing Diagnoses I have chosen for this paper are: Risk for impaired parenting due to teenage pregnancy, Ineffective coping related to adolescents who experience major depressive episodes, and Risk for associated health complications related to obesity. The first diagnosis I will discuss is teenage pregnancy. Although the number of teens who get pregnant in the United States has fallen in recent years, the U.S. teen birth rate is still the highest of any developed country, with more than 400,000 births in 2009, according to the U.S. Centers for Disease Control and Prevention. According to the report, 50.1% of girls aged 15 to 19 who had an unintended pregnancy were not using any form of contraception when they got pregnant, and 31.4% thought they could not get pregnant at the time (nim.nih.gov).
HRSA projects that, absent aggressive intervention, in the year 2020 the shortage will grow to more than 1 million RNs-representing a shortage of 36% (2). The “Baby boomers” are also aging and entering retirement. This has placed additional demand for the services of Nurses. Demands for Nurses is high and is expected to increase as more of the population gains access to healthcare reform. According to the American College of Nurses, “the nursing shortage is very real and very different from any experienced in the past and will grow more serious over the next 20 years” (3).
WORK CITIED INTRODUCTION Type 2 diabetes is the most common form of diabetes. Millions of Americans have been diagnosed with type 2 diabetes, and many more are unaware they are at high risk. Some groups have a higher risk for developing type II diabetes than others. Type 2 diabetes is more common in African Americans, Latinos, Native Americans, and as well as the aged
Introduction One of the most challenging community and public health issues facing the United States today is childhood obesity. According to the Centers for Disease Control and Prevention (CDC), in the past thirty years overweight children in the US have more than double in children and tripled in adolescents (“Childhood obesity facts”, 2013). The Robert Wood Johnson Foundation (RWJF) announced similar concerns and reported nearly one third of children and adolescents are overweight, and committed to an $8 million dollar commitment aimed at reversing this epidemic by 2015. The Healthy People 2020 objectives have shown convincing science supporting a healthy and nutritional diet lifestyle. These objectives are focusing on the health risk