Discussion: Improving Cardiorespiratory Fitness

Certain inherited characteristics and behaviors may place people at higher risk of health problems (such as cardiovascular disease, stroke, diabetes, and certain cancers) and death. Physical inactivity doubles the risk for heart disease, while regular activity cuts the risk in half. A growing number of studies shows that regular physical activity also lowers the risk of having a stroke (Do Lee, Folsom, & Blair, 2003).

Physical activity may reduce or eliminate risk factors of high serum cholesterol levels, high blood pressure, glucose intolerance, obesity, and high stress. Moderate physical activity is associated with a reduced risk of heart disease, but the physical activity must be a regular lifestyle habit to have an impact. The greatest benefits occur in sedentary people who adopt moderate physical activity habits. Even as little as 2 miles of brisk walking on most days of the week can be beneficial, while additional protection against heart disease is gained as the time and intensity of exercise increases.

To prepare for this Discussion:

• Review Chapter 3, “Cardiorespiratory Endurance: Assessment and Prescription” and consider how physical activity benefits cardiorespiratory fitness.
• Review Chapter 10, “Preventing Cardiovascular Disease.” Focus on the long-term health benefits of cardiorespiratory fitness and the potential consequences of poor fitness.
• Consider the types of activities that you like to participate in and their impact on your cardiorespiratory fitness.

With these thoughts in mind:

By Day 4

Post a brief description of two activities in which you are likely to participate that may benefit your cardiovascular system. Justify your choices based on their impact on cardiorespiratory fitness. Then explain how you will monitor your exercise intensity. Finally, describe how you plan to incorporate these activities into your personal fitness program.

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assignment due sunday

Assignment: Fitness Activity: Developing Cardiorespiratory Fitness

By making some simple changes, everyone can include more physical activity in their daily life. The “lifestyle approach” seeks to increase opportunities for physical activity throughout the daily routine and accumulate at least 30 minutes over the course of most, if not all, days of the week. This is the minimum amount of physical activity that improves the quality of life while decreasing the risk of most chronic diseases. Examples of simple changes that may increase physical activity include:

• Walk, cycle, jog, or skate to work, school, or the store
• Take the stairs instead of the elevator or escalator
• Play sports with the kids

It is important to understand, however, that exercise is not synonymous with physical activity; it is a subcategory. Exercise is physical activity that is planned, structured, repetitive, and purposeful, with the goal of improving or maintaining physical fitness. Through exercise, additional health and fitness benefits can be achieved by adding more time in moderate-intensity activity, or by substituting more vigorous activity.

A “personalized fitness program” should consider the individual’s current activity status and desired outcomes. Cardiorespiratory endurance can be considered the most important of the health-related fitness components because of its impact on the cardio (heart), vascular (blood vessels), respiratory (lungs), and musculoskeletal systems of the body. Cardiorespiratory fitness is a good measure of the heart’s ability to pump oxygen-rich blood to the muscles. The American College of Sports Medicine (Haskell et al., 2007) recommends participating in activities that use 55–90 percent of maximum heart rate for 20–60 minutes, three to five days/week.

Reference:

Haskell, W. L., Lee, I., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A.,…Bauman, A. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081–1093. doi: 10.1161/CIRCULATIONAHA.107.185649

To prepare for this assignment:

• Review the media titled “Fitness Activities: Determining Heart Rate and Rate of Perceived Exertion” for proper instructions about how to complete the fitness assessment activities.
• Review Chapter 3, “Cardiorespiratory Endurance: Assessment and Prescription.” Consider how the F.I.T. principles apply to a fitness program and how they shape individual workouts.
• Review the Fitness Activity Instructions for either Fitness Activity Track 1 or Fitness Activity Track 2. Pay particular attention to the instructions for each activity.
• Review the Fitness Activity Worksheet for either Fitness Activity Track 1 or Fitness Activity Track 2. Use it as a template for completing your Fitness Activity assignment.

Document: Track 2 Fitness Activity Instructions (Word document)

Document: Track 2 Fitness Activity Worksheet (Word document)

The assignment

Track 2:

Using the data set provided in the Fitness Activity Instructions and Worksheet, complete the following activities:

• Determine target heart rate
• Determine rate of perceived exertion
• Develop a personal cardiorespiratory endurance fitness program
• Prepare a fitness presentation

_____________________________________–

resources

Powers, S. K., & Dodd, S. L. (2017). Total fitness & wellness: The mastering health edition (7th ed.). San Francisco, CA: Pearson.

• Chapter 3, “Cardiorespiratory Endurance: Assessment and Prescription”
• Chapter 10, “Preventing Cardiovascular Disease”

Sattelmair, J., Pertman, J., Ding, E., Kohl, H., Haskell, W., & Lee, I. (2011). Dose response between physical activity and risk of coronary heart disease: A meta-analysis. Circulation, 124, 789–795.

Sattelmair, J., Pertman, J., Ding, E., Kohl, H., Haskell, W., & Lee, I., Dose response between physical activity and risk of coronary heart disease: A meta-analysis, in Circulation. Copyright 2011 Lippincott Williams & Wilkins, Inc. Journals. Used with permission from Lippincott Williams & Wilkins, Inc. via the Copyright Clearance Center.

Hagberg, J. (2011). ACSM information on exercising your way to lower blood pressure. Retrieved from http://www.acsm.org/docs/brochures/exercising-your-way-to-lower-blood-pressure.pdf

Reprinted with permission of the American College of Sports Medicine. Copyright © 2011 American College of Sports Medicine. This brochure was created and updated by James M. Hagberg, PhD, FACSM, and is a product of ACSM’s Consumer Information Committee. Visit ACSM online at www.acsm.org.

Haskell, W., Lee, I., Pate, R., Powell, K., Blair, S, Franklin, B.,…Bauman, A. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081–1093. doi: 10.1161/CIRCULATIONAHA.107.185649

American Heart Association. (2012). Heart conditions. Retrieved from http://www.heart.org/HEARTORG/Conditions/Conditions_UCM_001087_SubHomePage.jsp

Runner’s World. (2012). Training. Retrieved from http://www.runnersworld.com/

The Franklin Institute. (1996–2012). The human heart: Healthy hearts. Retrieved from http://www.fi.edu/learn/heart/healthy/healthy.html

The Ornish Spectrum. (2012). The proven program. Retrieved from http://www.ornishspectrum.com/proven-program/

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Regulatory Environment and Requirements

Select a risk management issue within a specific health care setting or organization. For your initial post to this discussion, construct a plan for regulatory compliance and address principles of high reliability organizations (Youngberg, 2011, p. 346–347). Begin your discussion by defining your selected issue and setting. Then, explain your plan and cite resources and personal experience as appropriate. The issue you select for this discussion will be the focus of the executive summary portion of this unit’s assignment, in which you must create an executive summary that describes your organization’s compliance with the regulatory requirement to promptly identify POAs and proactively assess and manage risk.

Initial posts should be based upon peer-reviewed, evidence-based literature. In your post, include at least one APA-formatted in-text citation and accompanying, congruent APA-formatted reference. Your source can be a course textbook, assigned reading, or other scholarly source.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

Response Guidelines

Respond to the posts of other learners according to the Faculty Expectations Response Guidelines. If possible, respond to one learner who has a perspective, background, or goals that are similar to yours, and to one learner whose perspective, background, or goals are different. Peer responses should be substantive and must include one peer-reviewed source that aligns with the discussion thread. You may feel free to add an additional source that is new or provides a completely different perspective. “I agree” and “Thanks for sharing your insights” are examples of responses that do not contribute content for enhanced learning and are not acceptable. The goal is quality, substantive feedback that demonstrates higher order critical thinking and evaluation of peers’ initial posts.

DQ 2, 3 and 4 (24)

[u03d1] Unit 3 Discussion 1

Learning   from the Past

Considering your analysis of St.   Anthony Medical Center’s Labor and Delivery service strengths and   opportunities, propose a list of features, advantages, and benefits for the   current service offering. With reference to the previous plan, explain your   reasoning for the new list.

Response   Guidelines

Respond to your fellow learners   according to the Faculty Expectations Response Guidelines. Focus on your   proposal in relation to that of your colleague: Where do your lists align?   Where do they differ? Support your thoughts with your own analysis.

Resources

• Discussion Participation Scoring Guide.

[u03d2] Unit 3 Discussion 2

Competitive   Analyses

Review the presentation given by   the marketing director in the media piece, Vila Health: Market Analysis. Then   construct a competitive analysis focused on social media use for St. Anthony   Medical Center’s Labor and Delivery service line versus the two other   competitor organizations. Post your document in the discussion space. This   completes step three of Kotler’s Marketing Plan format, presented in Health   Care Marketing.

Response   Guidelines

Review and respond to your fellow   learners according to the Faculty Expectations Response Guidelines. Focus   your response on a comparison with your own analysis–do you see any emerging   patterns? Support your response with reference to your texts and to the   information gleaned from St. Anthony Medical Center itself.

Resources

• Discussion Participation Scoring Guide.
• Vila Health: Market Analysis | Transcript.

DQ 4

High-Level Marketing Objectives

Revisit the vision, mission, values and strategic plan summary for St. Anthony Medical Center. Given the directional strategy, analyze the current versus desired status of the Labor and Delivery service line. Propose conceptual-level marketing objectives, including performance indicators and proposed measurement units for each indicator. Explain your thinking for each objective.

Response Guidelines

Respond to your fellow learners according to the Faculty Expectations Response Guidelines, focusing on the similarities and differences between your two plans. Where do you see the biggest difference? Explain how you think will affect overall outcomes.

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• CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
• CO3 Utilize effective communication when performing a health assessment. (PO 3)
• CO4 Identify teaching/learning needs from the health history of an individual. (PO 2)

After watching the video, and reflecting on the information presented, address each of the following questions.

1. What are the common symptoms associated with an exacerbation of COPD?
2. What assessment techniques will you use to assess Mary?
3. Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
4. Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
5. What will you do to follow-up on Mary’s smoking cessation process?

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Overview/Description: 

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below. 

Theory/Author Name and Background 

1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting. 
2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development. 
3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
4. Identify the phenomenonof concernor problems addressed by the theory.

Theory Description 

1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion. 
2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory? 
3. Interpret how the concepts are defined.  Implicitly or explicitly?
4. Examine the relationships (propositions) among the major concepts. 

Evaluation

1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
3. Discuss the clarity of the theory.  Did it have lucidness and consistency?

Application

1. Examine how the theory would guide nursing actions.
2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration). 

APA Style/Format

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Question Description

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization

b. Overall climate of the facility

c. How the organization is structured

d. Formal and informal goals and processes of the organization

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work?

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression

2 days ago

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