Questionsto answer in this write-up

Explain additional signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes as it relates to the topics your colleagues selected.

Provide alternative treatment and management strategies for patients presenting with signs and symptoms of nonadherence to the recommended lifestyle changes as it relates to the topics your colleagues selected

Casestudy #1

With this problem in mind, despite efforts for patient education initiatives some patients will still struggle to follow the recommended lifestyle changes during pregnancy. Not all patients will be forthcoming with their struggles, underpinning the importance of being able to recognize signs and symptoms of nonadherence so care plans can be modified in order for patients to achieve success. Signs and symptoms that indicate a patient’s nonadherence to lifestyle changes related to smoking may include gestational high blood pressure, blood clot development, low birth weight and fetal abnormalities, asthma attack, increased shortness of breath, and/or persistent cough (Centers for Disease Control and Prevention, 2019).

Explain the impact of nonadherence to these lifestyle recommendations on the fetus and the patient.

The impact of nonadherence of lifestyle recommendations related to smoking during pregnancy can have teratogenic effects and poor health outcomes for the mother. According to the Centers for Disease Control and Prevention, it’s estimated that one in every five babies born to mothers who smoke during pregnancy have low low birth weight. Also, the baby is more likely to die from sudden infant death syndrome (SIDS) when mothers smoke during pregnancy (Centers for Disease Control and Prevention (a), 2018). Smoking during pregnancy can cause the baby to have more colds, ear infections, lung problems, learning disabilities, and physical growth abnormalities such as cleft lip and cleft palate. For the mother, it increases their risk of issues such as heart disease, stroke, lung problems, and lower life expectancy (Centers for Disease Control and Prevention (b), 2018).

Explain treatment and management strategies for patients presenting with signs and symptoms resulting from their nonadherence.

Quitting smoking is not an easy thing for patients to do, therefore it is essential to remain empathic with nonadherence and be ready to offer support that provides the patient with the best chance to succeed. The patient should know that despite adversities, it is never too late to start the plan to quit. As providers, to offer support and guidance to promote the health of the mother and baby (Schuiling & Likis, 2017). Treatment and management strategies that might be helpful for nonadherent patients is to encourage them to make a list of all the reasons and benefits to quit smoking. This list not only includes benefits for the baby but also benefits them. Benefits for the baby would consist of reducing the risk of the baby being born too early, lowers the risk of the baby having health problems, and the baby will receive better oxygenation and nutrients to promote healthy growth. Some benefits for them as the mother includes lowering their risk of issues such as heart disease stroke or lung problems, they will have more energy to do activities with their child, and increase the longevity of their life. Additional management strategies may include changing daily habits such as instead of smoking after a meal start a new habit of going for a walk or reading a book, motivational media can provide a great perspective when trying to achieve goals. Support systems are also crucial because quitting is so difficult, having a friend or family member to lean against when you feel like breaking can help to stay strong and motivated to stop (American Pregnancy Association, n.d.).

Community services are typically available for health issues such as smoking cessation. Knowing community resources in the area of practice can be of great benefit to patients that are struggling with non-adherence. In researching my community for such services, there are numerous outlets for help. The Idaho Central District Health Department offers free quit tobacco classes, free phone and web-based programs, and free quit tobacco resource handouts (Central Health District, n.d.). The Idaho Tobacco Prevention and Control Program, Project Filter, is all about educating Idahoans about tobacco and the many ways it can damage your health (Idaho Department of Health and Welfare, n.d.). Support not only ends in the community, but patients can also contact the American Cancer Society Quitline (800-227-2345) for free telephone counseling where the patient can learn why it is difficult to quit and techniques to improve success (American Pregnancy Association, n.d.).

References

American Pregnancy Association. (n.d.). Smoking During Pregnancy. Retrieved on January 20th,

2020, from https://americanpregnancy.org/pregnancy-health/smoking-during-pregnancy/

Centers for Disease Control and Prevention (a). (2018). Smoking During Pregnancy. Retrieved

from

https://www.cdc.gov/tobacco/basic_information/health_effects/pregnancy/index.htm

Centers for Disease Control and Prevention (b). (2018). Tobacco-Related Mortality. Retrieved

from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/tobacco

_related_mortality/index.htm

Centers for Disease Control and Prevention. (2019). Smoking, Pregnancy, and Babies. Retrieved

from https://www.cdc.gov/tobacco/campaign/tips/diseases/pregnancy.html

Central Health District. (n.d.). Tobacco Cessation. Retrieved on January 20th, 2020, from

https://www.cdhd.idaho.gov/hl-tobacco-cessation.php

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA:

Jones and Bartlett Publishers.

Idaho Department of Health and Welfare. (n.d.). Idaho Tobacco Prevention and Control

Program. Retrieved on January 20th, 2020, from

https://healthandwelfare.idaho.gov/Health/TobaccoPreventionandControl/tabid/324/Defa

ult.aspx