A predominant theme in research and practice

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A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner:
1. How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients?
2. What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?
Requirements: 4 paragraphs
Discussion 7

Darlene, age 32 years, has been having back pain for a number of years, ever since suffering a compressed L2 disc as the result of a motor vehicle accident that led to surgery and extensive physiotherapy. Now she is missing time from work as a secretary because of constant pain. Darlene has been referred to you for chronic pain.
1. As the nurse practitioner working with Darlene, what aspects of disorders of pain are important to understand?
2. How would you effectively manage Darlene’s pain at this time?

Sample Solution

A predominant theme in research and practice

As a primary care clinician, you are in an ideal position to talk with adult patients about weight loss. About 70 percent of American adults are overweight or have obesity. Extra weight may put people at risk for developing type 2 diabetes, heart disease, kidney disease, stroke, and certain cancers. Research shows that even a modest weight loss of 5 percent can result in health benefits (Magkos F, Fraterrigo G, Yoshino J, et al., 2016). Patients with obesity ay want help setting and reaching weight-loss goals but may have a hard time talking about their weight. By speaking with patients respectfully and working with them as partners, you can play a key role in helping them improve their health. Open the discussion about weight in a respectful and nonjudgmental way.

increased pace of change that many of us have encountered over the past ten years has been dramatic. During the late 1980s, many of us were grappling with issues that we had never encountered. The accelerated use of leverages as means of increasing shareholder wealth left the balance sheet of some of America’s finest organizations in disarray. Many of largest customers, that for years represented minimal risk and required a minimum amount of time to manage, consumed most of our energy. By the end of 1993, many of these organizations had either resolved their financial troubles in bankruptcy court or no longer existed.

Organization need to settle down external environment and professional live to return a normal pace, many organizations initiated efforts to improve operating efficiency to become more competitive in the world marketplace. Inside forces include strategic and human resource change which drive organizations to adapt and evolve.

Forces of Change:

There are a number of forces both internal and external which affect organizational functioning. Any change of these factors necessitates change in an organization. The more important factors are as follows:

A. External factors:

External environment affects the organizations both directly and indirectly. The organizations do not have control over the variable in such environment. Accordingly, the organization cannot change the environment but must change themselves to align with the environment such as: Technology, Marketing Conditions and Political forces. Organizations is also affected by the world politics. Some of the changes in the world politics which have affected business all over the world are, the reunification of Germany, the break of Soviet Union and Iraq’s invasion of Kuwait. SWOT analysis identifies internal and external forces, strengths, weaknesses, opportunities and threats.

B. Internal factors:

Internal forces are too many and it is very difficult to list them comprehensively.

  • Nature of Workforce: The 1990’s has been described as a decade where organizations will have to learn to manage diversity. The new generation of workers are better educational qualifications, they place great emphasis on human values and question authority of managers. The employee turnover also became very high which put strain on the management. The work force is changing with rapid increase in the percentage of wome

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