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NUR 643 Week 4 DQs

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Bickley and Szilagyi (2017) discuss the importance that nutrition, fitness, optimal weight and preventing injuries have on the health and integrity of the musculoskeletal system. Healthy People 2020 also address many targets that focus on the health of the musculoskeletal system such as proper lifting, avoiding falls, physical activity plans that are well balanced and preventing or delaying the onset of arthritis to name a few (Bickely and Szilagyi, 2017). In order to develop a health promotion plan with a patient it is important to discuss what their current life style behaviors may be. There is a direct link between a healthy musculoskeletal system and good nutrition and physical activity (Bickley and Szilagyi, 2017). It would be important to inquire what their diet consists of on a regular basis and how often/ what type of physical activity they currently participate in (Bickely and Szilagyi, 2017). Another important step would be to obtain a weight and assess BMI and muscle mass to determine if weight is of concern (Bickely and Szilagyi, 2017). It will also be helpful to assess what the patient considers proper nutrition, a healthy weight and adequate physical activity. This will help to identify what gaps in knowledge may be present. Assessing the patients motivation to make changes will also need to take place (Bickely and Szilagyi, 2017). Once baseline information is obtained than a plan can be put together.

Specific teaching points will be individualized to the patient based on the baseline data collected. Encouraging a well balanced diet is important because what we eat has a huge impact on our health status. Starting with realistic goals that are mindful of the patient's possible food or financial restrictions is imperative (Bickely and Szilagyi, 2017). Encouraging physical activity of various types, in case the patient does not have access to a gym, is necessary. The plan will be as tailored to the patient as possible so success can be achieved. The more success the patient is able to see the more likely they will continue with the recommendations.


Bickley, L.S. and Szilagyi, P.G. (2017). Bates' guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer.


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