Heart Disease, Diabetes Mellitus, And Hypertension

Cardiovascular diseases has affected large number of population worldwide and in developed countries it is responsible for half of all deaths, coronary artery disease (CAD) alone is responsible for 1 of every 4.7 deaths in the United States (Eichner et al., 2002).

America is known for its advanced society and technology, but is also known to be one of the most obese populations. Found in “Down to Earth”, America is one of the most progressive countries to exist; therefore it should be the healthiest (“Obesity in America”). If America is so highly advanced, more advancement needs to be put towards obesity rates. As time goes on, adults and children are having to consequently expand their waistbands because of unhealthy habits. In an article previously discussed, Brown-well states that Americans are at an all-time low in exercising (Murray). By having less motivation to exercise, family health is at stake. Future generations need to be more pressured to keep physically fit for their health. With less motivation for a healthier lifestyle, communities across America will remain obese. According to CBS news, Americans prefer to consume Twinkies over Tofu (“The Blame Game”). With Americans not giving healthier options opportunity, less interest will be put into healthy options. Individuals are focusing on the pleasure of taste than their own well being. Internationally speaking, Americans have one of the strongest societies, but the weakest mindset for healthy living. With stubborn attitudes and continual unhealthy choices, obesity will not only stay but

About 40 to 50% of adults in America are at risk for diseases such as stroke, kidney failure, heart attack, heart failure and obesity. Most of these diseases are brought on by hypertension which is brought on by unhealthy eating choices, poor diet and little to no exercise which has devastating effects on the body. Approximately 7 out of 10 Americans is prescribed or takes a prescription pill daily, half of those are diet related illnesses such a diabetes and one third of those individuals is obese. Two trillion medical-care costs are because of chronic diseases most of which are lifestyle habits/choices. Obesity in America costs about taxpayers about $123 billion via Medicare and Medicaid. Now that obesity has risen at an alarming rate, in some cases obesity is considered a disability for those that are physically or mentally impaired by it. Debatably a preventable disease with proper education on food, diet and exercise

The United States of America leads the world as the country with the highest obesity rate. Obesity is a life threatening condition and a prerequisite for many other conditions such as diabetes. Along with causing life threatening conditions obesity can cause day to day problems such as lack of energy and poor mental performance. Both of these day to day problems brought on by obesity and poor health in general affect many students in school and adults in the workplace, causing low productivity and low moral in both students and employees. It is important for healthy habits, such as a healthy diet regular exercise, to be encouraged and required by teachers and employers through out the U.S to ensure every student and employee is working at their personal maximum performance.

Type-2 Diabetes mellitus (T2DM) is a common disease worldwide. According to the American Diabetes association (ADA), 1808 million people in the United States have been diagnosed with diabetes, and another 7 million are thought to have the disease but have not been diagnosed. (Hilaire, Woods, 2013). This disease has impacted everyone in some way. It is a controllable disease; however many individuals choose not to control it or are uneducated on how to control it. Many people with type 2 diabetes (T2DM) also have hypertension, high cholesterol, obesity, lack of physical activity, poorly controlled blood sugars, and smoking. “Current evidence supports the concept that hyperglycemia significantly contributes to the development of both cardiovascular and microvascular complications of T2DM” (Chittari, McTernan, 2011). Cardiovascular disease (CVD) remains the leading cause of death in patients with diabetes mellitus, accounting for 50% of all deaths (Campbell & Hillman, 2010).

Obesity has had a significant impact on American. In the United States, the statistic shows more than 69% of adult are either obese or overweight. Even children have become heavier as well. Approximately 17% of American children in the age range between 2 to 11 has nearly three times the prevalence from one generation ago (X). People in this generation are not as active as their ancestor or parents. Many adults and children are obsessing with electronic devices that they would sit in the chair for hours. Physical inactivity and poor diet are a significant threat to health that may overtake tobacco as the leading preventable cause of death (square). Obesity did not happen overnight; it happens over time. The body weight of our body is the result of the choices we make: food, environment, and exercise. When the energy we take in from food is not in balance with the energy we burn from exercise will result in increased weight. Obese people require extensive attention to their health and it can affect their daily basic life routines.

The publics idea of health has evolved over the decades, similar to fashion in that it is continuously morphing and even trends have resurrected with new twists. Recent developments have seen widespread awareness of the importance of regular exercise and many benefits of a balanced diet. Yet despite the plethora of health and fitness methods and resources, the general population has never been so physically sedentary and out of shape. According to the national center for health statistics, America life expectancy has declined despite advances in the fitness industry, concerns over secondary conditions such as heart disease, cancer, and diabetes has created an urgency of public health officials as they try to mandate new strategies to fight this national epidemic.

According to the Centers for Disease Control and Prevention (CDC) (2014), only 21% of Americans are sufficiently physically active according to the guidelines set forth in 2008. Thus, living a sedentary lifestyle has become an epidemic, and one that is not without consequence. The CDC (2014) further states that one’s risk for heart disease, type 2 diabetes mellitus, stroke, depression, some cancers, and early death is noticeably higher for those living a sedentary lifestyle. Certainly, then, promoting physical activity is a simple intervention providers should practice to prommote overall health and prevent or delay the onset of disease. A motivational interview was conducted with Cherish Brown, a 22-year-old

Obesity in America has gotten out of hand with more and more people succumbing to illness such as, diabetes and heart problems. Yes, even with all the technology and advances in medicine humankind has actually more health problems than ever before. So why are there so many health and weight issues happening in today’s society? Simple, it is the American culture to invest time into work and technology instead of investing time into getting and staying healthy. Between busy schedule and other distractions maintaining a healthy lifestyle is difficult.

Fitness and nutritional habits should be more enforced in today’s society; especially in the United States. The general public as a whole is less healthy the prior days. People are not as active, make poor eating choices, are indoors more often and always on the run. This is the results to an unhealthy culture. By changing our day to day habits by incorporating healthy meal planning and exercise we can beat this growing change.

APN can help patients engage in their care, thereby helping them understand their obesity and the practical measures to take for prevention and management. APN are one of the main resources for patients trying to understand and implement healthy behaviors. Because APN interact with the community along all levels of the healthcare continuum, we can significantly influence patients trying to lose weight and maintain weight loss (Miller, et al, 2008). One of the primary responsibilities is to provide both formal and informal patient education. . Moreover, as Nurse Practitioners, we need to be measuring the body mass index, achieving and maintaining a healthy weight, and encourage the parents to engage their children in regular physical activity. Also, educating and giving the parents the list of food groups those children at risk need to be consuming. Developing successful interventions for overweight and obesity, such as checking BMI, adivising parents to weigh their children, as well as motivating people to eat healthy meal such fat free diets. (Miller, et al, 2008). Therefore, APN who clearly articulates both a rationale for healthy behaviors and a practical approach to implementing them is more likely to have greater success as patient educators. Role modeling, healthy diet and lifestyle may positively impact the

Cardiovascular diseases (CVD), diabetes and adiposity cause deaths, lack of quality life and economic effects on a global scale. Most of the conditions and effects can be prevented and are experienced at very early stages due to the lifestyle habits regarding poor diets, physical in-activities and excessive tobacco consumption. The resulting burdens to the families, societies and countries are very huge and unsustainable (Institute of Medicine, 2010). The health and economic imperatives in the improvement of lifestyle behaviors are completely evident. It is therefore important that the right approach be applied in dealing with the causal factors of bad health with the objective of improving the people’s health. The population approach in dealing with health matters creates a more focused dimension in reaching a wider population. The paper makes a proposal to the solutions for promoting better health for the American population by evaluating the possible recommendations.

Healthy habits in the U.S. has started to drop even as early as the year 1920. These unhealthy eating and exercising habits are what eventually leads to morbid obesity. Obesity in America has become an issue so fast growing, the chance to stop it in its tracks went out the window years ago. Obesity has become a matter so synonymous with America that it is not only a running joke in other countries, but also has become commercialized to the point of making millions of dollars. Weight loss is seen walking down a street, on TV, in magazines, and everywhere else. Weight-loss drugs began to appear in media around the 1920s. Companies then started making money on people being overweight in America. Americans actually getting healthy, at this point in time, overall, would actually cause those companies to lose money. The American Medical Association has been in intense debate on whether or not to consider obesity a disease. On one hand, there are many physicians and doctors who believe that it should be considered a disease, as it leads to early onset Type II diabetes. While on the other hand, it is up to the volition of an individual for whether or not to eat in a healthy manner, exercise responsibly, and to stray away from nutritionally poor and otherwise negatively calorie dense foods (Brown, 2015, para.

According to report of survey of 2007-2008 by National Health and Nutrition Examination Survey (NHANES) by Ogden (2010) approximately 32.4 percent of adult population of US above 20 years of age have a basal metabolic interest (BMI) over 25 which indicate that they are overweight. About 33.8% of adults above 20 years of age are obese (BMI>30) and 5.7% are extremely obese (BMI > 40). These figures are alarming and obesity is of serious health concern. Americans are less physically active. The price of food in America has declined significantly due to changes in technology which have improved the effectiveness of food production and its distribution. Additionally, technology has reduced the requirement for physical activity during work or for movement. For most Americans, doing physical exercise requires a conscious dedication to exercise, which comes

Nurses implement health promotion strategies in a variety of ways. Due to the high level of credibility nurse’s have with their patients, they greatly influence their patients with their passion. By emphasizing health promotion strategies such as self-responsibility, proper nutrition, exercise and stress management, nurses plant the seeds of wellness in the minds of their patients. While ultimately, it is up to the individual to make healthy changes in their lives, the role of the nurse practitioner plays a huge role in motivating individuals to adopt healthy habits.