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Assignment:
You are a community health nurse working in a suburban community with a high prevalence of diabetes. Your primary goal is to implement strategies for diabetes prevention and management at various levels of prevention.
Briefly discuss the three levels of prevention and identify one primary, one secondary, and one tertiary interventions that a Community Health Nurse can use for this community.
A public health nurse had an initial contact with a family and their youngest child at a well-baby clinic. The 9-month old child was over the 95th percentile for weight and the 40th percentile for height. The nurse also noted that both parents were obese. The nurse asked about the family's eating patterns, the baby in particular, and suggested a home visit to determine if the family was interested in family nursing. The nurse explained the purpose of home visits which is to assess all family members, coping patterns, eating patterns, and food purchasing choices. To help the family improve its nutritional status, the nurse might suggest a session of brainstorming to uncover many causes of poor nutrition and might also lead to more solutions and plans for action. The nurse explains that each family member should be involved and work together as a team to pull together to accomplish goals with each visit. On each visit, the nurse views the family as a group. Evaluation of outcomes will be based on what the family does collectively. The family is interested and a home visit date is set.
What developmental states appear to have been achieved? What would be the nurse's plan of action over the next three visits? What are the goals for this family (include immediate, midrange, and long-term)?
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