Topic 4: Health Assessment of the Young and Middle-Aged Adult

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NRS 434 Topic 4: Health Assessment of the Young and Middle-Aged Adult

Topic 4: Health Assessment of the Young and Middle-Aged Adult

Shadow Health Comprehensive Assessment of Tina

Complete the Digital Experience. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit your lab pass to your instructor in the classroom.

Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points).

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.

You are not required to submit this assignment to LopesWrite.

Topic 4 DQ 1

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource

Topic 4 DQ 2

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Re: Topic 4 DQ 2

The middle-aged adult has past the peak his physical maturity. He starts to notice declinations of some body systems such as vison, hearing, and physical strength. Disease processes may begin to manifest. (Green, s., Falkner, A., 2018). To combat diseases a healthy diet using guidelines of the website and exercise are most effective. Two very common health risk factors that effect this age group are over-weightiness and osteoporosis.

Osteoporosis is a common problem among adult women. According to, 5.3 million middle-aged people are affected (Healthypeople, 2019). The National Osteoporosis Foundation reports that one in two women and one in four men are affected by it. With osteoporosis, the patient will have a decrease in bone and bone tissue. This makes the patient more susceptible to fractures. Though this bone condition may be inherited, for many, it is modifiable through nutrition and exercise.

Over-weightiness is another very common problem among middle-aged adults. It increases the risks of developing many other health problems such as; high blood pressure, stroke, diabetes II, coronary artery disease, colon cancer, and sleep apnea to name a few. (Healthy weight, 2015). Over-weight is defined as a body mass index of 25 or more According to the CDC, between 2015-2016, the number of overweight adult aged 20 and higher was 71.6%. This is modifiable through nutrition and exercise.

Osteoporosis patients should be encouraged to get routine screenings called peripheral tests, where bone density tests measured in the lower arm, wrist, finger or heel is conducted. The nurse should stress the importance of load-bearing exercises and balance and strength training 3 or more times a week. Exercises such as swimming and walking are good for more fragile patients. These patients will benefit from simple yoga poses that strengthen good body posture which is a challenge for these patients. The nurse can encourage the patient to join the local YMCA where they have good senior discounts. The National Osteoporosis Foundation website has examples of Isometric exercise to benefit posture and balance. There are also many senior groups that come together weekly to walk through malls and parks for exercise and socializing. The nurse is the facilitator of good habits, but it is ultimately up to the patient to take initiative.

To lose weight, the patient will need to change their eating habit along with exercise. This patient needs to do aerobic exercise at least 30 minutes per day. This can be walking, bicycling, a step class or something the patient enjoys. Performing with moderate to high intensities will keep the heart pumping more intensely for an aerobic workout. For example, the patient could go for a run. He could run for 3 minutes and walk fat a fast pace for or 5 minutes and continue to switch and even vary the minutes he performs each set.

The nurse will want to remind both patients that the key to being successful in managing osteoporosis or losing weight is getting started and having the mental attitude that their health is a priority and exercise is a big part of it. Recommend they change things up. Try different types of aerobics and try a new surrounding to fight boredom. Encourage them to have fun, because if they enjoy what they are doing, they are more likely to stay with it. Tell them to find a friend or family member who will exercise with them. Having a partner may makes the patient feel more accountable. Lastly, encourage them to set goals and give themselves healthy rewards for meeting them.


Arthritis, osteoporosis, and chronic back conditions. (2019). Retrieved from

Healthy weight: The health effects of overweight and obesity. (2015). Centers for Disease Control and Prevention. Retrieved from

What is osteoporosis and what causes It. (2019). National Osteoporosis Foundation. Retrieved from

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