Health Promotion in Nursing practice- Navajo Adolescent Health Promotion Proposal

Health Promotion in Nursing
Practice- Navajo Adolescent Health
Promotion Proposal
Student’s Name

Prevalence and Incidence

Infrequent among the Navajo youths <10years

High incidence and prevalence among older

15-19year old adolescents; 15 in 359 Navajo
youths with the disease in 2011 and 23 in 2,542
develop the disease annually

Most is diabetes type 2 although diabetes type 1 is
present but more common among younger

Diabetes type 2 affects more than 1/5th of the
Navajo population >20years

The Navajo youths aged 15- 19 year have the
greatest diabetes type 2 risk

Factors contributing to the disease

Poor glycemic control (40-50% of the youths with

Impaired fasting glucose or impaired glucose

More metabolic factors linked;


Cardiometabolic disturbances and hypertension

Insulin resistance (higher albumin-to creatinine
ratio, dyslipidemia, and abdominal fat deposition)

Factors contributing to the disease

Higher BMI levels, lower HDL cholesterol, and
higher triglyceride levels

Severely depressed mood

High unhealthy behaviors’ prevalence;

Sedentary lifestyles

High-fat diets (University of Nottingham
School of Nursing and Academic Division of
Midwifery, 2007).


Lower socioeconomic status

Impacts of diabetes type 2 on Navajo

Nerve damage

Blood vessels damage

Eye problems (glaucoma, cataracts, diabetic
retinopathy, and retinal detachment)

Foot problems- circulation difficulties-
deformities and skin infections

Sexual dysfunction

Kidney disease

Chronic complications

Neuropathy- 13%/1000 person years

9% mortality rate

35% microalbuminuria

6% needed dialysis

45% hypertensive cases that needed treatment

38% of the women who become pregnant
suffer pregnancy loss

67%- poor control of blood glucose

Why prevention is important

More years- disease burden

Increased risk- diabetes-related complications
(too early in life)

Need for;

Primary prevention (University of
Nottingham School of Nursing and Academic
Division of Midwifery, 2008).

Efforts to delay/ prevent chronic
complications’ development

Prevention of the disease among the

Lifestyle and behavioral factors take
precedence over genetics

Abstaining from alcohol

Quitting smoking’

Having a healthy diet

Physical activity

Proper MBI


Need to avoid;

High-energy foods

High-fat foods

Too much animal proteins

Junk foods

Too much sugary foods (Work group for
community health and development at the
University of Kansas, 2012).

Need to consume high-fiber and low-fat diet


Inactivity- obesity and overweight

Inactivity results from;

Lower parental education

Higher BMI

Cigarette smoking


Television viewing- high-energy foods

The least exercise should last 30
minutes/ day, 5 days/ week

Management of the disease

Specific treatment objectives;

Eliminating hyperglycemia symptoms

Maintenance of a reasonable BMI

Reducing the cardiovascular risk factors
(smoking, sedentary lifestyle,
microalbuminuria, hyperglycemia,
hyperlipidemia, and hypertension)

Overall improvement in the adolescent’s
emotional and physical well-being

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