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What questions will you want to ask your patients at every visit in order to get the information needed to provide individualized preventive services?

As a provider I would focus on primary prevention questions to assist me to provide individualized preventive services. The answer to these questions would prompt me to educate, advise, and promote healthier lifestyle and social habits.

Questions that should be asked at every visit include: (Not in any particular order)

• Do you tan? Sunbath?
• What do you normally eat in a day?
• What do you normally drink in a day? How much water do you intake?
• Do you smoke? Do you do any narcotics or illegal drugs?
• Do you wear a seat belt?
• Do you feel safe at home?
• Do you Drink alcohol?
• Do you wear hearing aids or glasses/contacts?
• Do you wear a helmet on a bicycle or motorcycle?
• Do you exercise? If so, how many times per week and how long?
• Do you feel stressed? What brings on your stress? What do you do for stress?
• Do you diet or use weight control methods?
• Are you aware of your immunization status? Do you get a flu shot every year?
• Are you exposed to any environments hazards?

(Dunphy, Winland-Brown, Porter, & Thomas, 2015).

How does the age and gender of the patient impact your approach to delivering preventive services and providing health education?

Age can impact the approach of a provider when delivering preventive services and providing health education. With a pediatric client the provider has to engage the family with health promotion and educate and advise the family on health education and preventive services. The provider must get the family on board with what is offered at appropriate ages such as immunizations to be able to give the child health services. In this case the child cannot make decision on their own so the provider is solely working with the family. Especially with adolescent and teenage population research suggests that parents influence children through behavior patterns and supportive home environments (Hutchens & Lee, 2018).

How does the patient’s developmental milestones impact their ability to make healthy changes and take charge of their health?

Developmental milestones do impact the patient’s ability to make healthy changes and take charge of their health. The youth of our society have to be taught by parenting or through school and community environments. The Centers for Disease Control and Prevention (2018) discuss the initiative toward youth health promotion called DASH which stands for the division of adolescent and school health. This program has a goal to promote environments where children can be educated on healthy behaviors, connect to health services, and learn how to avoid becoming pregnant or infected with STDs or HIV (CDC, 2018).

What are some risk factors associated with health promotion?

Screening patients for potential known risk factors is vital for effective health promotion and intervention by the advanced nurse practitioner is part of this (Dunphy, Winland-Brown, Porter, & Thomas, 2015). There are modifiable risk factors and non-modifiable. Modifiable risk factors include weight, diet, social habits, lifestyle choices, and stress whereas non-modifiable risk factors include age, sex, and genetics (Dunphy, Winland-Brown, Porter, & Thomas, 2015). The advanced nurse practitioner should be aware of the modifiable and non-modifiable risk factors through a comprehensive health assessment and physical assessment. The information provided by the patient can lead the provider to intervene through education, diagnostic testing, and health promotion and prevention techniques to assist the patient to change the modifiable risk factors and understand the non-modifiable risk factors.

References

Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary care the art and science of advanced practice nursing (4^th ed.). Philadelphia, PA: F.A. Davis Company.

Hutchens, A., & Lee, R. (2018). Parenting practices and children’s physical activity: An integrative review. Journal of School Nursing, 34(1), 68-85.

The Centers for Disease Control and Prevention (CDC). (2018). About the division of adolescent and school health. Retrieved from https://www.cdc.gov/healthyyouth/about/index.htm