NR 361 Milestone 1

NR 361 Milestone 1

Course Project Milestone 1 Template

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines.  After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m. Mountain Time. 

Name:

NR 361 Milestone 1

Assignment Criteria
NOTE: See Milestone 1 Rubric for details required in each area.
Scenario for Milestone AssignmentScenario is clear and concise, including a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.50 points  Patient Joe Smith is 40 years old and is slightly overweight. He came in for his yearly physical and to check on his blood pressure.  He was diagnosed with pre-HTN at his last visit with it being 140/90.  He was told to start monitoring his diet and exercise. He was also told to get a blood pressure monitor so he can do at home blood pressure readings.  He has no other comorbidities, and no significant family history.   Mr. Smith has a very stressful job as an accountant where he works almost 50 hours every week.  He rarely takes his lunch break and usually just snacks on what ever he can grab quickly.  By the time he gets home he is starving and tired.  He grabs fast food on the way home because he is to tired to cook.  Right after he eats, he goes right to bed. Nursing Assessment:Mr. Smith asked for help in controlling his blood pressure and stress.  He is currently no on any medication and would like to keep it that way.Mr. Smith needs to reduce his stress which may be a factor to his HTN.  Also, he needs to be educated on proper nutrition and preparing foods to take with him to work so he can make better diet choices.  It would be beneficial for him to speak to the nutritionist to develop a meal plan that has a low sodium and include more fruits and vegetables.  An exercise regimen also needs to be incorporated into his day since he is sedentary at work all day then at home.  Breaking down 1 hour of exercise into two 30-minute increments or four 15-minute increments throughout the day can help get him to start becoming more active.
EducationDescribe in detail content planned for teaching this patient in the scenario.40 pointsStress Management:Mr. Smith will download a stress management app that will help remind him to take time out his day to breathe and relax.  The app uses guided visual, audio, and physical exercises to help reduce stress.  “.. progressive muscle relaxation, autogenic training, relaxation response, biofeedback, guided imagery, diaphragmatic breathing, transcendental meditation, cognitive behavioral stress reduction and mindfulness-based stress reduction are all effective treatment methods for reducing stress and anxiety that accompanies daily life and chronic illness” (Varvogili, L., & Darvir, C. 2011).
Diet: Low sodium diet that includes an increase of fruits and vegetables.>Keep fruits and ready to vegetables nearby to snack on>Meal prep a healthy breakfast, lunch, and dinner at home so you won’t be tempted to grab unhealthy food.
Exercise:Attempt to incorporate at least 1 hour of exercise a day to help reduce stress.  This can be anything from taking a walk, yoga, or cleaning your house.  Physical activity can help clear your mind and improve your mood.
Identify the mHealth applicationIdentify a mHealth app that could benefit the patient. Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it. Include a working link if it is to be downloaded from a website.  Add any other information you believe would be pertinent to this situation.  Make sure to add a citation for this mHealth app in APA format. pointsThe Mindfulness App:“Daily guided mindfulness medication sessions for better sleep, relax, and focus” (Mindfulness, 2020).  It is designed for ages 4 and older who suffer from stress, anxiety, and depression.  It gives relaxation through meditation, calming sounds and music to help regain your focus and improve your mood.The app is available for every platform {iPhone and Androids}Included in the app is the following is a “5-day guided introduction to Mindfulness, guided and silent timed session from 3 to 30 minutes, reminders and statistics to stay focused on your practice, and a library filled with premium meditations” (Mindfulness, 2020).There is a free version which gives you access to the above-mentioned features and there is a premium version that ranges from $4.99-$299.99 per item.  You can customize the app to your own needs.  It can be downloaded at google play and the apple store.
https://apps.apple.com/us/app/the-mindfulness-app/id417071430https://play.google.com/store/apps/details?id=se.lichtenstein.mind.en&hl=en_US
Statement from instructor on required assignment and topic:    Accepted, Accepted with revisions needed, OR Not accepted.*Any required revision will not alter your grade for this assignment. *
AcceptedAccepted with revisionsNot accepted

NR 361 Milestone 1

References:

https://themindfulnessapp.com/

Varvogili, L., & Darvir, C. (2011). Stress Management Techniques: evidence-based procedures that 

reduce stress and promote health. Health Science Journal, 5(2), 74–89.

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