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Discussion 1: I have seen countless times before, whether it be in practice or personally amongst my friends and family screenings that ultimately saved their lives. Whether it be colonoscopies, mammograms, prostate exams, PAP smears, or even routine blood draws medicine has advanced to the point where so many detrimental prognosis are avoided. Often I see older patients apprehensive to have these screenings done as they don’t want to find an issue needing treatment. From a standpoint in critical care, I emphasize the need for prophylactic care. First and foremost we must understand the patients apprehension and take into account why it is they are avoiding these screenings. Is it a fear of revealing a potential issue? Is it a lack of insurance? Fear of medicine? Once the root issue is realized, a conversation in the right direction can be had. As we discussed in the last discussion post, families are often bearing the responsibility of caring for their ill family members. These chronic diseases and extended years of total care put a inevitable burden on those responsible for said care. Emphasizing the need for screenings, and there importance can help to avoid the severity these ailments ultimately come to. From a community standpoint, our hospitals are overwhelmed with patients using the emergency room as a primary care facility. We can alleviate these numbers by promoting the need of regulars prophylactics screening.
Discussion # 2: How would you as the nurse respond to patients who are apprehensive about getting screened for diseases?
First, I would sit with the patient and have a discussion with them and find out where this apprehension is coming from. Is it a lack of education leading to a belief that they do not need it? Perhaps a fear of the test results, financial reasons, or possible pain/injury caused by the procedure. Once the source of the apprehension is identified I would work with the patient to solve the issue from there. If it is an education issue, we can get them some more statistics, if it is financial, we can find them some assistance, so on and so forth. 2.Compare and contrast three different (individual, family, and community) approaches to health promotion, emphasizing screening.
An Individual screening is a screening done between one patient and one practitioner (Edelman & Kudzma 2018). It is curtailed specifically to that patient, their medical history, their lifestyle etcetera. Screening at the family level could be helpful when dealing with shared factors such as environmental issues like water, air, and food quality. Furthermore, you can also discuss family history such as cancers, diabetes etcetera, as well as lifestyle (exercise and food choices). At the community level one should consider the needs and resources available to them when deciding what types of screenings are necessary. How is the water, air, and food quality at large? Are there any spikes in diseases? Where and why? When it comes to community testing it is important to remember that target population is based on a recognized element of high risk (Edelman & Kudzma 2018).


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