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Need 2 peer responses. Initial discussion question: Gabriela is a 32-year-old Latino woman with type 2 diabetes and hypertension who is working full time at a fast-food restaurant. She has a BMI of 32. Gabriela is studying to be a cosmetologist and lives with her mother, who helps out with child care and housekeeping. Gabriela’s knees are very sore and she is in the clinic to have them examined. She is very fearful that she will lose her job if she cannot stand for long hours. 1.What strategies could you suggest to Gabriela to attain a healthy weight and improve her health?2.What barriers to a healthy lifestyle do you think Gabriela may have? How would you discuss them with her?
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Latinos are a community of people that are considered to have numerous health issues. In their life span
a Latino will experience one or two health issues. These vary from obesity, diabetes, hypertension, or
even kidney diseases. This is the case in this discussion, in which Gabriela, a Latina woman, has type 2
diabetes and hypertension. She has sore knees, which could be due to many things including her weight,
her demanding job, or the amount of exercise that she does.
There are countless barriers that can be preventing Gabriela from succeeding in having a healthy
lifestyle. These can include lack of time, lack of resources like a gym, issues such as anxiety or
depression, or financial struggles. Since Gabriela works at a fast-food restaurant, it is safe to assume that
she does not make a lot of money. Healthy options of foods are expensive now a days, and Gabriela
might not be able to afford it considering she has a child to take care of as well. An article by the
Northeast Georgia health system states that the amount of money that a person earns directly affects
several aspects of life. The neighborhood they live in, the sort of food that they can afford, and whether
they can pay to see the doctor and purchase their medications are all determined by income
(Enikanolaiye & Schleifer, 2022). Gabriela’s income might be a big barrier as to why she might not be
able to achieve a healthier lifestyle.
To aid Gabriela in developing a healthy weight and improve her health, I would first suggest seeing a
doctor. A doctor will do an assessment on her and properly locate the areas in her health that need to
be worked on. A doctor will cooperate with Gabriela and plan with her to improve her health.
Developing a plan will motivate Gabriela to make healthy choices in her food intake, as well as provide
accountability to make progress when an appointment is made for a routine checkup with the doctor. In
addition, a doctor will help her keep her diabetes under control. This is a very crucial aspect of her
health because diabetes can become deadly exceedingly fast. According to an article by abbott.com
stress can cause your blood sugar to rise. Find activities you like that help you relax. Try taking a walk,
listening to your favorite music, or gardening, whatever helps you cope (Gifford, 2018). These are things
that a doctor can propose to Gabriela to do to lower her stress level, since she works in a fast-food
restaurant, which is a stressful job. Mental health directly affects one’s physical health, so making sure
that Gabriela is coping well mentally with the stresses of life will allow her to keep a healthy physical
state.
In conclusion, Gabriela is a Latina mother who has diabetes, hypertension, and is experiencing pain in a
sore knee. The biggest recommendation that I would give Gabriela to accomplish obtaining a healthier
lifestyle is to go to the doctor. The doctor will aid her in managing her diabetes and hypertension, and
they will give her some guidance as to what steps she needs to take in starting a diet of healthier foods.
Gabriela will embark in a difficult journey where she will experience a lot of different barriers such as
lack of time, lack of resources like a gym, issues such as anxiety and depression, and financial struggles.
However, with the right willpower she can successfully carry out her goal.
References:
Gifford, M. (2018). 10 tips for how to manage diabetes. Home.
https://www.abbott.com/corpnewsroom/nutrition-health-and-wellness/10-tips-for-how-to-managediabetes.html
Schleifer, D., & Enikanolaiye, M. I. (2022). Barriers to healthy living – why is it difficult for some?
Northeast Georgia Health System. https://www.nghs.com/2022/07/13/barriers-to-healthy-living-why-isit-difficult-for-some
Tello, M. (2020). Healthy lifestyle: 5 keys to a longer life. Harvard Health.
https://www.health.harvard.edu/blog/healthy-lifestyle-5-keys-to-a-longer-life-2018070514186
1. What strategies could you suggest to Gabriela to attain a healthy weight and improve her health?
I think the first step in order to help Gabriela to improve her status is to help her to be more resilient
and work on self-care. Resilience, defined as the capacity to rebound from adversity, is contingent upon
the interplay of cognitive processes, emotional responses, and dispositional tendencies. The cultivation
of resilience may facilitate the attainment of improved emotional, spiritual, and physical well-being prior
to embarking on the subsequent stage of one’s vocational journey. According to Barry and Sirois, the
cultivation of peacefulness, love, and engagement in activities that promote well-being has the potential
to foster the development of resilience (Hooten and Sapp, 2021).
The BMI of Gabriela is not consider healthy, and might be affecting her emotionally, and physically. The
NHS website (2019) suggests that persons who need to reduce weight drop 0.5–1 kg (1-2 lb) every week.
Many individuals would prefer to lose weight faster than this; it’s important to notice that the default
search suggestion from the web search stated above was “lose weight fast.” (Coutts, 2021).Make a list
of your priorities to keep you motivated and concentrated, whether it’s a future vacation or improved
general health. Then figure out a technique to guarantee that you can use your motivating elements
when faced with temptation. You could wish to leave a motivational note for yourself on the refrigerator
or pantry door, for example . Although you must be accountable for your own actions to lose weight, it
may be helpful to have assistance( “Weight loss: 6 strategies for success, 2021) .
In conclusion the patient must learn healthy ways to lose some weight that can help to alleviate the
pain, also she needs to know ways to cope with her fear and understand that without her health she
won’t be able to work at all. Furthermore, small problems like the ones that she experience can
represent minimum downtime for recovery whereas if she left her knees untreated can develop in more
serious problems.
2. What barriers to a healthy lifestyle do you think Gabriela may have? How would you discuss them
with her?
She might have some self confidence problems, or she might also experience stress related to her job as
working in a restaurant is very stressful. Not only she has a full time job and studies. But she might also
feel bad for not being able to spend more time with her child.
As a main nurse intervention for Gabriela, the nurse must use therapeutic forms of communication to
incentive the patient to find self-motivation in wanting to improve her health for her own sake and her
child’s. By using therapeutic communication the nurse can find the root of the problem for the fear she
experiences related to her misconceptions about her future. Also, by using this intervention she can
build rapport and even make a reference to a nutritionist that can assist her to have a healthy BMI.
Create a therapeutic alliance. Be accessible to your clients so they may discuss and listen. Help the client
become more conscious of their verbal and nonverbal behavior’s. By giving feedback and verifying the
meaning with the client, clarify the significance of the sentiments and behaviors. Recognize your dread
and worry most of all (Tabangcora, 2023).
REFERENCES:
Gartley, C. E. (2021). Job loss and preparing for the future. Retrieved from
Coutts, A. (2021, November 25). The Nurse’s role in providing strategies and advice on weight
management. British Journal of Nursing. https://www.britishjournalofnursing.com/content/weightmanagement/the-nurses-role-in-providing-strategies-and-advice-on-weight-management/
Mayo Foundation for Medical Education and Research. (2021, December 7). 6 proven strategies for
weight-loss success. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/weight-loss/indepth/weight-loss/art-20047752
Tabangcora, I. (2023, July 27). Stress and anxiety: Something we can all relate to. Nurseslabs.
https://nurseslabs.com/stress-and-anxiety/
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