Reference no: EM133381638

Assignment:

You have recently been hired as a primary care nurse practitioner to provide health-care services at a retirement community. The facility's residents are committed to maintaining active, healthy lifestyles. In addition to providing health-care interventions during times of illness, you are also responsible for overseeing the healthy lifestyle programs offered to residents. Programming for healthy lifestyles includes activities, events, and robust healthy lifestyle counseling and educational opportunities. Although the community has state-of-the-art facilities, the programs are clearly outdated and are focused more on generalizations and limitations often associated with older adults rather than maximizing and maintaining health by appropriately recognizing the individual. Because you believe that a complete overhaul of programming is needed, you are preparing your recommendations to present at the next community board of directors meeting for approval.

Case Questions-

The current physical activity program is focused on mild stretching classes and daily walking groups. Residents have complained that the choices are very limited and boring. To rejuvenate interest in the facility activity programs, you decide to promote active hobbies. What would you include? (Identify 6-9 activities)

Many of the single residents are sexually active as evidenced by an increase in prescription requests for Viagra and vaginal lubricants. How should resident sexual behavior be incorporated into healthy lifestyle counseling? (5 details)

During the follow-up visit, you review the medication list one of the residents and ask whether anything is missing from the list. The resident responds by saying that he has not seen any other doctors, but he started taking some new vitamin supplements a month ago that were suggested by a person at the health-food store. What should you say to this resident about the use of herbal supplements or other over-the-counter medications? (Discuss in detail)

In order to prevent future adverse drug reactions with this resident as well as with others, you develop an educational program that focuses on the dangers of drug interactions and on identifying risks associated with polypharmacy for the health-care providers at the center based on the American Geriatric Society (AGS) Beers Criteria. How can this be helpful? (Discuss in detail)

The community has a well-established smoking-cessation program, but there are no other programs specifically focused on substance use. The smoking cessation program has proven successful; however, additional substance use programs must be created. What substance use programs should you start, and what information should be included? (Discuss in detail 5-7)

Most residents are familiar with, and compliant with, receiving the recommended influenza vaccine every year. What other immunizations should be considered for residents to maintain a healthy lifestyle? (Identify 4-5)

You are surprised to learn that dental care is not provided on-site and recommend that in addition to counseling regarding dental care, the community board of directors consider the inclusion of dental care on-site. The board is surprised to see this recommendation and asks why dental care has been recommended as many residents have dentures or dental implants. How would you respond? (Discuss in detail)