Health promotion and disease prevention is an important approach in today’s healthcare system in detecting, treating, and preventing diseases and injuries. Health promotion refers to the process of empowering people to increase control over their health (Edelman & Kudzma, 2018). On the other hand, disease prevention involves interventions at the primary, secondary, and tertiary levels to minimize the burden of diseases and associated risk factors on the people. While utilizing this approach to address the health of populations, it is important to incorporate telehealth services to enhance the provision of services, health education, and healthcare administration.
Population Selection and Healthcare Needs
The selected population for this discussion involves African Americans aged 35 to 55 years with Hypertension. Overall, the Black or African American accounts for 12.4% of the US population, and the majority belong to the lower-middle-class family (Gilbert et al., 2019). Despite having basic education and working like the other races, African Americans lag behind economically and have an average family income below $30,000. Spiritually, the majority of the African American population are Christians and visit the church at regular times. During care delivery, incorporating the spiritual aspect of care is important to promote acceptance and healing.
The American healthcare system is beset with inequalities that majorly affect people of color and other marginalized groups. Most people are economically disadvantaged and have challenges with affording some form of health insurance coverage. For instance, more than half of the minority Medicare population is African American with over 55% utilizing private insurance(Gilbert et al., 2019). Regarding the aspect of diseases, risk factors for chronic conditions like hypertension, diabetes, and obesity are prevalent among African Americans. The health of black men continues to be worse compared to women of all races. This population is greatly affected by conditions like heart disease, cancer, and diabetes.
Case Study and Plan of Care
Mr. Thompson is a 52-year-old African American patient reporting the to primary care provider for a wellness visit. This is his third visit in a month following a diagnosis of hypertension. For the past 25 years, Mr. Thompson has been staying in the city working as a truck driver. His health condition has made it difficult to continue working because and for the past year he has struggled with finances because he has no job. His vitals are as follows: Bp 165/97 mmHg, HR 86 b/m, Temp 36.3°C, Resp 23 b/m, Weight 98.6 kg, BMI 29.4. The patient is currently on anti-hypertensives but reports regular episodes of restlessness, fatigue, and difficulty in breathing especially at night. Because of his current financial status, Mr. Thompson and his family have decided to relocate to the rural area where he can be close to his family. However, he is afraid that he will be able to get adequate healthcare services because they do not have a specialist.
Addressing Mr. Thompson’s healthcare needs will require the utilization of telehealth services to communicate with him back at home. The primary care provider will be required to establish a communication channel with the rural hospital where the patient will be receiving care. Secondly, the patient requires other interventions like nutritional guidance and exercise. The patient is overweight and requires a combination of drug therapy with exercise and nutritional adjustments. I will recommend the utilization of mobile apps like MyPlate calorie tracker to address his nutritional needs and Fitbit to help with issues with exercise and physical activity (Ghelani et al., 2020). The utilization of telehealth services can impact the health of the patient by maintaining regular channels of communication. Additionally, the utilization of telehealth services can help reduce costs by minimizing visits to the hospital given his current financial status and proximity to the nearest hospital.
Edelman, C. L., & Kudzma, E. C.. (2018). Health Promotion Throughout the Life Span, 9th edition. St. Louis, MO: Elsevier, Mosby. ISBN: 978-0-323-416733
Ghelani, D. P., Moran, L. J., Johnson, C., Mousa, A., & Naderpoor, N. (2020). Mobile apps for weight management: A review of the latest evidence to inform practice. Frontiers in Endocrinology, 11, 412. https://doi.org/10.3389/fendo.2020.00412
Gilbert, K. L., Ray, R., Siddiqi, A., Shetty, S., Baker, E. A., Elder, K., & Griffith, D. M. (2019). Visible and invisible trends in black men’s health: Pitfalls and promises for addressing racial, ethnic, and gender inequities in health. Annual Review of Public Health, 37, 295–311. https://doi.org/10.1146/annurev-publhealth-032315-021556
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