Executive Summary on a value-based purchasing (VBP) program
The method of health promotion and disease prevention is one of the best ways to deal with the growing number of health problems in all populations today. (Edelman et al., 2017) Health promotion means teaching people how to act in ways that improve how their bodies work and help them adapt to a world that is always changing. The disease-prevention approach to health care focuses on specific interventions that hope to stop chronic diseases and other morbidities from happening or getting worse. One thing that can be helped by well-designed health promotion and disease prevention strategies is the growing number of illnesses that affect older people. This talk looks at how to keep older people healthy and avoid diseases by using the right technology.
Population and Needs for Health Care
Most diseases that can be prevented can be stopped today by using health promotion and disease prevention methods well. The group chosen for this talk is made up of African American men who are 65 years old or older. Recent studies say that the rise in the number of adults around the world is unprecedented. For example, the 2016 data from the Office for Disease Prevention and Health Promotion (ODPHP) showed that 15% of the US population was made up of people over the age of 65. Health promotion and disease prevention methods can help this patient group deal with the high number of chronic diseases and other health problems.
Health promotion for older people doesn’t focus on just one part of health. This group of people has a lot of health problems that can make life hard and even cause death. For example, more than 60% of older people deal with two or more long-term health problems (ODPHP, n.d.). Heart disease, cancer, diabetes mellitus, dementia, and Alzheimer’s disease are just some of these diseases. The second worry about health care is the number of injuries caused by falls that often go unnoticed. (Edelman et al., 2017, p. 48) say that about 12% of older people have a fall that is bad enough that they need medical help. This information fits with what Healthy People 2020 says, which says that one in three people falls every year, but less than half of them tell their doctors about it (ODPHP, n.d.). The elderly also have to deal with problems like being overweight or obese and not having enough workers to meet their needs. Most older people don’t have health insurance, which makes them less likely to go to the doctor and keeps them in the hospital longer because they can’t pay their bills.
Example case study
Mr. X is an African American man who is 67 years old and has an annual check today. He says he’s in good health, but he moans about pain in his lower back. He says he doesn’t take any medicine for it, though. The patient says that sulfa drugs make him sick. His past medical and surgical background shows that he had diverticulitis and had a right knee replacement. His social past shows that he stopped smoking 5 years ago but still has a glass of wine with dinner every night. He also drinks two cups of coffee and soda or tea every day because he doesn’t like water. The patient rarely cooks his own meals at home and says he doesn’t do any physical exercise to stay healthy. In terms of his family background, he says that his father died at 60 from colon cancer and that his mother is still alive but has HTN and type II diabetes. The patient is overweight, has trouble going to the bathroom, and sometimes bleeds from the pelvic area. Aside from the problems that were found with the GI system, the results of the review of the other systems are perfect.
Level of Care at the Provider
Mr. X can benefit from health promotion and disease prevention plans that target the health problems that have been found. First of all, the patient can help control his weight by working out. There is a past of HTN and diabetes in MR. X’s family, so he is likely to get them in the future. Using a mobile app like Fitbit to track health will help the patient exercise, keep track of their daily steps, and see how their weight loss is going. Second, I will suggest using the MyPlate calorie Tracker app to make sure a healthy diet is being followed (Han & Lee, 2018). For example, Mr. X has trouble going to the bathroom, which can be helped by eating foods that are high in dietary fiber.
Telehealth is the use of digital communication and information tools to get health services and manage health from a distance (Han & Lee, 2018). Using mobile app technology for telehealth will help Mr. X go to the doctor less often. With the help of the healthcare provider, the user will be able to decide how to take care of their health with the help of the technology. When a patient uses these technologies, it’s easy for them to share data with their doctor without having to go to the hospital.
Nursing Diagnosis
Unbalanced nutrition: Getting more than the body needsWhat makes something what it is
Because they don’t know how to eat well
Overweight
Linked things
Not moving enough
More food than the body needs
What’s hoped for?
The person will change the way they eat and how much exercise they do.
With good health care, the patient will lose weight.
Interventions
Make a food plan for the patient based on how they usually eat.
Use a mobile app to get the patient to move and track their weight.
Health teaching about how important a balanced diet and staying at a healthy weight are.
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