NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

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Health Promotion Plan

NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

          The World Health Organization describes health promotion as the activity of organizing and exerting deliberate control over and improving, people’s health. Promoting health is an essential aspect of daily life. Making a health plan to enhance improving health is crucial. Planning is an essential phase of this approach and comes first in each clinical interaction. Knowing what must be done for public health as a whole and planning a practicum element with promoting health as a crucial topic for evaluation are both necessary. The method for health care development aims to assist nurses in comprehending the key factor influencing health-related activities to offer intensive therapy to promote a healthier lifestyle (Sims-Gould et al., 2019). Community health nurses at Vila Health Hospital should concentrate on health promotion as well as patient better health outcomes, which calls for developing a plan that could be put into action to avert serious health repercussions.

Analysis of Community Health Concerns of Tobacco Use

Despite current reductions in frequency, tobacco use continues to rank among the major preventable causes of premature death and disease worldwide. Using tobacco has several detrimental effects on one’s physical and mental well-being. The major goal of the promoting health plan is to maintain people’s wellness and fitness by equipping them with the required skills. Programs are designed to help communities choose healthier lifestyles to reduce the likelihood of developing medical problems (Perez-Warnisher et al., 2019). This paper will examine the importance of creating approved health objectives in engagement with adolescents as well as the medical problems of tobacco use.

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Tobacco Usage in Adolescents

Mostly in the United States, tobacco usage is the most common cause of avoidable diseases and deaths. Teenage tobacco use has been listed as an important target that has to be handled by Healthy People 2030. In addition, according to Healthy People 2030, 18.3% of adolescents in levels 7 through 12 utilized tobacco products in 2018, including cigarettes, vapes, mods, chewing tobacco, pipes, and cigars (Owens et al., 2020). Numerous variables have been linked by the Centers for Disease Control and Prevention (CDC) to adolescent tobacco consumption. Adolescents are significantly impacted by social and environmental influences (CDC, 2020). The way tobacco use has been depicted in the press as a typical activity, cigarette marketing in both stores and online, and experiences of friends and family smoking cigarettes are now all strongly associated with tobacco usage among adolescents. To prevent adolescents from increased attention to tobacco consumption while also giving those who already employ it the tools they need to stop, strategies must be created as tobacco use by adolescents in the United States is increasing (Kavousi et al., 2021).

NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

Health Promotion Plan for Adolescents

Approximately 1,600 youngsters in the US smoke cigarettes for the initial times nearly every day, based on the Centers for Disease Control and Prevention (CDC) (CDC, 2020). The flavoured cigarette item was also used by 85% of high school kids and 74% of elementary school students who reported using electronic cigarettes in the period before 2020. Despite variations in tobacco use by geography and sociodemographic characteristics, youngsters in the US consume it often (Baker et al, 2022). The overall incidence of tobacco use is 25.2% (1 in 4 people), with men using it more frequently and with a high incidence than women. Tobacco smoking is expected to result in 443,000 annual fatalities occurred, with 49,400 of those reported deaths from inhalation to smoke exposure (Brouwer et al., 2020). 

Importance of Promotion Plan for Adolescents

Several studies have shown that teenagers commonly attempt to stop smoking while being unaware of the high amount of nicotine addiction and without obtaining any type of counselling or services like nicotine patches treatment. Several adolescents battle to quit smoking because they are heavily addicted to nicotine even without recognizing it. The establishment of bronchitis, tobacco addiction consumption disorders, poor neurodevelopment, emphysema, and unintentional nicotine overdose are only a few of the serious health consequences associated with this activity. It is crucial to inform adolescent people about the dangers of tobacco smoking and to give them access to the right services for quitting and preventative measures (Vallata et al., 2021).

Health Goals Collaboration 

That’s because the FDA has not yet approved tobacco cessation treatment for teenage nicotine replacement, the United States Preventive Services Task Force (USPST) developed a method that encourages teenagers to cut back on their nicotine use and quit. A variety of treatments have already been proven to be effective in reducing teen tobacco consumption, including in-person counselling, psychosocial support, and online and education programs (Owens et al., 2020). To help them securely stop when they are yet younger, it is crucial to educate teenagers about the options that are available to them for quitting tobacco.

NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

Why Addressing This Concern Vital to Create a Plan?

To raise the profile of tobacco consumption avoidance and reduction, it is first necessary to understand why adults want to smoke. The impulse to smoke is caused by physiological dependence on the additional drug nicotine. Tobacco smoking appears quickly, even after just a few clouds of smoke. Nicotine enters the brain in a few milliseconds, and the compounds it produces increase the frequency while enhancing focus and alertness. The feelings and actions that nicotine generates make it challenging for people to stop smoking (Bhatnagar et al., 2019). Since 2014, e-cigarettes have emerged as the most widely used tobacco substitute among adolescents (CDC, 2020). Due to the flavorings in e-cigarettes, adolescents are particularly drawn to the products. As a result, the adolescent establishes a chemical dependence on nicotine, increasing the risk that they will continue using tobacco products as adults. Teenage and youth tobacco consumption can result in serious organ dysfunction, long-term obstructive pulmonary disease, cardiovascular damage, issues with growth and development, and sometimes even mouth and pulmonary cancers (Shinbashi & Rubin, 2020).

Social, Economic and Lifestyle Behavior of the Population

Disparities in adolescent development are brought on by a variety of variables, particularly their environment and socioeconomic background. Teenagers are often more likely to smoke when their families smoke, and they are even more probable when they witness their peers using cigarettes. Adolescents with lesser socioeconomic backgrounds are more likely to smoke cigarettes, including those with fewer resources and education (CDC, 2020). Because tobacco companies are promoting more and making their items more widely available, young people are more inclined to smoke cigarettes before they reach 18 than they were in the past (Healthy People 2020, 2020). The biggest medical condition facing adolescents is cigarettes. This demographic frequently tries different ways to smoke.

According to Healthy People 2020, the social environment has a major impact on the motivation to begin and continue smoking. Health disparities are influenced by a variety of factors, including geography, economic position, disabilities, sexuality, age, education, and ethnic background. The ability of a person to ensure adequate health is affected by each of these factors. The goal of Healthy People 2020 is to narrow disparities, attain health equity, and improve the well-being of young Americans (Healthy People 2020, 2020). Teenagers require access to healthcare promotional services and materials (Bhatnagar et al., 2019). Nurses need to help this population become more aware of the risks of tobacco in addition to providing resources for stopping smoking.

NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

Evaluating Best Strategies for Tobacco Cessation

By abstaining from smoking, one can prevent tobacco-related diseases and early death. Proper procedures for quitting smoking have already been discovered. Identification of cigarette smokers and the development of a personalized addiction treatment strategy for them are best done in the outpatient and inpatient settings environment. In cigarette cessation centers, professional physicians and certified addiction treatment specialists are employed. This system provides a variety of treatment options, such as medications like Wellbutrin and nicotine patches therapy, education about the risks associated with smoking and the perks of quitting, a supportive workplace to endorse quitting endeavors, assistance in determining patients’ primary motivations to stop, and education on behavioral and mental health changes that have occurred to overcome smoking desires (Selby & Zawertailo, 2020).

Several health care organizations and one-on-one sessions arranged for quitting smoking adhere to the theories and methods described in the Public Health Service’s Treatment Guidelines. In contrast, patients seeking medical treatment at facilities can be discouraged by a lack of insurance coverage and expense disparities. Exercise has been found to assist individuals in smoking cessation when paired with some other treatment. Researchers discovered that those who were physically active had far higher adherence rates than people who were inactive. Short bursts of activity also help celibate smokers feel less the need for cigarettes. On the other hand, comorbidities or underlying medical problems can make some types of exercise difficult, so individuals should first consult their doctors about their options (Gilbody et al., 2020).

Developing SMART Health Goals

When deciding on objectives, the nurse should take the patient’s preferences into account and set specific, patient-specific goals. Creating a patient-centred health promotion plan is crucial. It assists the doctor in deciding how they would like their health and well-being to develop. A group of adolescents in high school who smoke regularly will establish health goals to aid in stopping. The CDC reports that far more than half of adolescents 

 want to quit and much more than half had tried (CDC, 2020). A SMART (specific, measurable, action-oriented, realistic, timely) aim was created to help with this. To cease smoking specifically within 2 months is the goal. They’ll keep a journal to record their growth. In accordance with an intervention program, we will also implement a smoking reduction program that meets twice per week, chewing gums or eating candy whenever the need for cigarette strikes, avoiding being near other smokers and exercising for 30 minutes each day. Everyone in the community will support and cheer one another on when they give up and continue working toward this goal. Although the committee will keep on meeting and modify the strategy as needed to be efficient in abstinence, the timing target is two months (Sharpe, 2018).

Problem: Adolescents using inhalation nicotine products is a problem.

Goal: The adolescent community will have the ability to stop smoking by using the facilities and therapies mentioned.

Specific: Adolescents are susceptible to several diseases, particularly pulmonary, cardiac, and malignancy. These vulnerability factors indicate that an intervention is essential and can be obtained through local activities. The patient will proactively adopt ideas and strategies learned throughout weekly meetings, participate in a workout routine, observe the primary healthcare provider’s medication guidelines, start attending monthly cessation programs and stick to the policy.

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NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

Measurable: To track his progress toward regular cigarette cessation, a participant will keep a log of their actions.

Attainable: The cost of discontinuation sessions is covered by patients’ medical insurance for any prospective medicinal needs.

Realistic: By adhering to the techniques, society’s participants will intend to stay healthy.

Time-Bound: The objective is for an individual in the community to try to quit within 4 months. To help ensure all their providers are made liable, they will regularly check in with them. Finding the circumstances of cigarette use is necessary before establishing an intervention goal.

            The patient may recognize and set goals for the measures necessary to stop smoking due to this target. This goal includes a support group or starting a program to stop smoking. It also includes making better decisions when triggers arise, such as consuming healthy food, using toothpicks, or perhaps even working out. In addition to establishing a reasonable goal, the patient must put together a supportive relationship to keep them motivated and help as needed. After this community of supporters has been established, the person needs to let them know they are stopping and lay out their expectations, such as a weekly update and encouraging remarks. The patient’s ultimate objective should be to create a timeline after these goals have been established.

Conclusion

It is completely obvious that recreational drugs are extremely addicting and hard to stop using. Adolescents must be given the encouragement and tools necessary to trust professionals regarding their access to nicotine products or addictions if they are to respond appropriately. A good health promotion initiative starts with training and educating people about the risks of nicotine use as well as helping them develop SMART objectives.

References

Baker, K. A., Campbell, N. J., Noonan, D., Thompson, J. A., & Derouin, A. (2022). Vaping prevention in a middle school population using CATCH My Breath. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners36(2), 90–98. https://doi.org/10.1016/j.pedhc.2021.07.013

Bhatnagar, A., Whitsel, L. P., Blaha, M. J., Huffman, M. D., Krishan-Sarin, S., Maa, J., Rigotti, N., Robertson, R. M., & Warner, J. J. (2019). New and emerging tobacco products and the nicotine endgame: the role of robust regulation and comprehensive tobacco control and prevention: a presidential advisory from the American Heart Association. Circulation139(19), e937–e958. https://doi.org/10.1161/CIR.0000000000000669

Brouwer, A. F., Jeon, J., Hirschtick, J. L., Jimenez-Mendoza, E., Mistry, R., Bondarenko, I. V., Land, S. R., Holford, T. R., Levy, D. T., Taylor, J., Fleischer, N. L., & Meza, R. (2020). Transitions between cigarette, ENDS and dual use in adults in the PATH study (waves 1-4): multistate transition modelling accounting for complex survey design. Tobacco Control, tobaccocontrol-2020-055967. Advance online publication. https://doi.org/10.1136/tobaccocontrol-2020-055967

Centers for Disease Control. (2020). Smoking & Tobacco Use. Retrieved from

https://www.cdc.gov/data_statistics/fact_sheets/index.htm

Gilbody, S., Peckham, E., Bailey, D., Arundel, C., Heron, P., Crosland, S., Fairhurst, C., Hewitt, C., Li, J., Parrott, S., Bradshaw, T., Horspool, M., Hughes, E., Hughes, T., Ker, S., Leahy, M., McCloud, T., Osborn, D., Reilly, J., Steare, T., Vickers, C. (2019). Smoking cessation for people with severe mental illness (SCIMITAR+): a pragmatic randomised controlled trial. The lancet. Psychiatry6(5), 379–390.https://doi.org/10.1016/S2215-0366(19)30047-1

Healthy People 2020 (2020). Tobacco Use. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/tobacco-use

Kavousi, M., Pisinger, C., Barthelemy, J. C., Smedt, D., Koskinas, K., Marques-Vidal, P., Panagiotakos, D., Prescott, E. B., Tiberi, M., Vassiliou, V. S., & Løchen, M. L. (2020). Electronic cigarettes and health with special focus on cardiovascular effects: position paper of the European Association of Preventive Cardiology (EAPC). European Journal of Preventive Cardiology, 2047487320941993. Advance online publication. https://doi.org/10.1177/2047487320941993

Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., Curry, S. J., Donahue, K., Doubeni, C. A., Epling, J. W., Jr, Kubik, M., Ogedegbe, G., Pbert, L., Silverstein, M., Simon, M. A., Tseng, C. W., & Wong, J. B. (2020). Primary care interventions for prevention and cessation of tobacco use in children and adolescents: US Preventive Services Task Force recommendation statement. JAMA323(16), 1590–1598. https://doi.org/10.1001/jama.2020.4679

Perez-Warnisher, M. T., Carballosa de Miguel, M., & Seijo, L. M. (2019). Tobacco Use Worldwide: Legislative Efforts to Curb Consumption. Annals of Global Health85(1), 9. https://doi.org/10.5334/aogh.2417

Selby, P., & Zawertailo, L. (2022). Tobacco addiction. The New England Journal of Medicine387(4), 345–354. https://doi.org/10.1056/NEJMcp2032393

Sharpe M. (2018). What about treatment of smoking to improve survival and reduce depression? – Authors’ reply. The Lancet. Psychiatry5(6), 464–465. https://doi.org/10.1016/S2215-0366(18)30179-2

Shinbashi, M., & Rubin, B. K. (2020). Electronic cigarettes and e-cigarette/vaping product use associated lung injury (EVALI). Paediatric Respiratory Reviews36, 87–91. https://doi.org/10.1016/j.prrv.2020.06.003

NURS FPX 4060 Assessment 1 Attempt 3 Health Promotion Plan

Sims-Gould, J., McKay, H. A., Hoy, C. L., Nettlefold, L., Gray, S. M., Lau, E. Y., & Bauman, A. (2019). Factors that influence implementation at scale of a community-based health promotion intervention for older adults. BMC Public Health19(1), 1619. https://doi.org/10.1186/s12889-019-7984-6

Vallata, A., O’Loughlin, J., Cengelli, S., & Alla, F. (2021). Predictors of cigarette smoking cessation in adolescents: A systematic review. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine68(4), 649–657. https://doi.org/10.1016/j.jadohealth.2020.09.025