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HPV vaccination is recommended by the American Cancer Society to be routinely offered tofemale aged 11 to 12 (Cox & Palefsky, 2016). Although Ms. Jones is not sexually active atpresent, she does however have multiple sex partners in the past which makes her at risk togetting cervical cancer if not given with HPV vaccine.Healthy BehaviorsHealthy behavior that was identified during the assessment of Ms. Jones is her eating habits and doing more exercise. Being diabetic with prehypertension and obesity can be controlled by diet and exercise and losing weight. Ms. Jones stated that she eats less carbs, avoids sweets, try to eat whole grain, vegetables and foods that are low in fats. This is clearly evident by her losing 10 lbs. for the last four months.Overall PlanMs. Jones overall health condition is good. However, the decreased sensation in both herfeet is alarming. She reported that she has been controlling her diabetes and prehypertension withdiet, exercise, checking her blood sugar once a day and taking the medication metformin twice aday.
PATIENT ANALYSIS AND HEALTH12People with diabetes and hypertension are at risk for peripheral arterial disease.Peripheral artery disease (PAD) is a condition that can cause leg pain that gets worse withactivity. Patients with PAD often have no complaints. However, if the supply of blood fails tosatisfy ongoing metabolic requirements as a consequence of arterial narrowing, symptoms willoccur, the severity of which depends upon the degree of arterial narrowing, number of arteriesaffected, and the activity level of the patients. Risk factor include black ethnicity, diabetes,hypertension, smoking, hyperlipidemia and a family history of atherosclerosis (Neschis &Golden, 2014). Our patient Ms. Jones has at least three of these risk factors and she isshowing symptoms by her decreased sensation in her feet. Healthy people 2020 goals fordiabetic patients is to reduce the rate of lower extremity amputation; increase the number ofadults with diabetes to have an annual foot examination and increase the number of patients withdiabetes to perform self- blood glucose monitoring. To avoid further complication, we will refer Ms. Jones to an endocrinologist andpodiatrist. We will educate her to continue her current medication regiment, increase themonitoring of her blood sugar and continue her diet and exercise.Health Promotion Teaching Tool ProposalIdentified Teaching ToolOne of the health problems of Ms. Jones is being diabetic. Diabetes if not controlled canlead to other health problems such as kidney failure, eye complication, peripheral arterialdisease, heart attack and stroke. Teaching tool that we will provide to Ms. Jones is a printout inGlucose Monitoringand How to Reduce the Risk for Developing Other Health Problem. The
PATIENT ANALYSIS AND HEALTH13printout is in pdf format and both is available at the diabetes educator website,We will give this to Ms. Jones to educate her more to become more compliant on taking