Nursing assignment part 2

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I have already completed PART 1 which is attached , for guide. This is Part 2 and must be as continuation of Part 1 , NOT A SEPARATED DOCUMENT


5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2  paragraph. You may use bullets if appropriate).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph). 

Paper Requirements :

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 






Health Promotion Program Proposal

Topic: Chronic Obstructive Pulmonary Disease (COPD)


Health Promotion Program Proposal

A current health problem, Chronic Obstructive Pulmonary Disease (COPD), prevalent in

Miami, Florida, United States, needs to be addressed for the elderly, vulnerable population.

Research done in 2019 indicates that the age-adjusted prevalence of COPD among adults of 18

years and above in Miami was 5.4-95%, and the confidence interval was 4.6-6.2% (CDC.Gov.,

2022). The statistics indicate that the adults in Miami have been affected by COPD for a long

time. Addressing the performance of frequent exercise by elderly persons involved in COPD is a

valid health promotion program that ensures physical status improvement. Without exercise, an

adverse process leads to deteriorating health when persons affected by chronic conditions do not

address their physiological needs (Xiang et al., 2022). Hospitals are the environment where

people expect to receive an improvement in their health and well-being.

For the elderly, receiving instructions to engage in physical activity is a suitable

consideration for managing COPD. Provision of advice by nurse practitioners with advanced

expertise to manage chronic health conditions is imperative since they shall analyze risk factors

for diagnosis, connect patients to suitable doctors, provide advice on interventions for the health

conditions, and store healthcare data so that any risk factors for COPD get eliminated for healthy

persons. Their interaction with elderly persons and provision of appropriate advice will facilitate

guidance of better healthcare outcomes.

Description of the Vulnerable Population

The proposal can be managed using this PICOT question structured as an intervention:


For the elderly population (P), does the use of long-term behavior change instructions by

nurses for physical activity and exercise (I) reduce the future risk of handling COPD

rehabilitation (O) compared with taking inhaled steroids (C)?

A risk factor affecting elderly persons is their exposure to smoke, which is common when

they smoke tobacco directly or indirectly (Boudewijns et al., 2018). The patient population of

elderly persons is affected by exposure to different types of smoke, which can be particulate

matter or tobacco smoke, which is taken over time as a habit (Boudewijns et al., 2018). Elderly

persons often find engaging exercise hard since they are at an advanced age, limiting productive

physical activities. Identification of risk factors related to the older population is thus needed for

a results-oriented approach to managing healthcare conditions.

The vulnerability of elderly persons’ bodies affects their COPD and makes them more

likely to get diagnosed. For instance, women who have a low body mass index (BMI), smoke

less, and those who are underdiagnosed usually get affected by COPD when it gets discovered

later after progressing (Boudewijns et al., 2018). Exposure to second-hand smoke, indoor air

pollution, and particles from burning biomass fuel are other risk factors for elderly persons of all

genders (Boudewijns et al., 2018). Solving the issue of COPD is possible by addressing social

determinants affecting the selected population of elderly persons. Risk factors include aging,

exposure to burning coal, and a history of childhood respiratory infections (Yan et al., 2023).

Addressing the risk factors prevalent in the elderly population is a suitable method of improving

accurate healthcare improvements.


Review of Literature

Activities like walking, aerobic exercises, walking training sessions, engaging in time-

intensive exercise, and improving exercising behavior are effective methods to address the

problem of COPD (Xiang et al., 2022). Social determinants that affect the health of elderly

persons living in Miami, Florida, can expose them to the risk factors mentioned, and the resulting

outcome is COPD. Sociodemographic factors also affect the physiological conditions of persons

involved in COPD since they can get diagnosed and still get exposed to direct or second-hand

smoking and particulate matter from cooking processes (Boudewijns et al., 2018). When elderly

persons do not adhere to suitable social determinants, their health will get adversely affected, and

the issues get worse due to financial resources, lack of lengthy physical movement, and social


There can be a comparison of handling COPD using inhaled steroids that are effective as

a form of therapy. According to Tashkin Strange (2018), inhaled corticosteroids can manage the

health of persons with declining pulmonary function since they improve breathing. When this

occurs, improving pulmonary function becomes imperative as older persons reach a stage where

their physical needs become as important as their psychological needs. The rate of pulmonary

decline in persons with COPD occurs at an advanced rate that needs to be addressed with proper

expertise in handling the health conditions of elderly persons. There can be improvement in the

quality of lung function for persons with COPD when they take corticosteroids based on the

change in exposure to particles (Tashkin & Strange, 2018). Obtaining advanced improvement in

the health of different persons is possible when they adhere to treatment methods.

Review of the Sources


A strength of the source by Xiang et al. (2022) illustrates that the authors performed a

credible study to determine how physical activity increases health and well-being. A strength of

the source by Tashkin & Strange (2018) is that it validates medication use for improving the

health conditions of persons affected by COPD. Researchers have performed careful

pharmacological improvements, ensuring chronic conditions do not limit a person’s ability to

engage in social activities. A weakness of the source is that there needs to be a clear explanation

of the mode of performance of steroids for handling COPD since, if administered in high dosage,

it can cause osteoporosis or adrenal suppression.

Appropriate Health Promotion/Disease Prevention Theoretical

Communication about physical activity for managing COPD is the best method of

enhancing accurate healthcare outcomes for the health promotion process since it is inexpensive.

Physical activity is highly effective in improving the quality of life of persons affected by

chronic conditions since non-pharmacologic interventions reduce the risk of occurrence of a

chronic condition, and if a person already has a chronic condition, the result in maintenance of

health status (Xiang et al., 2022). Working with nurses to train members of the elderly population

is a reliable health promotion process since productive healthcare procedures can be managed

when the elderly population integrates behavioral changes. Collaboration among the nurse

practitioners and elderly persons shall be focused on to address the problem.

Most elderly persons are affected by chronic illnesses due to prolonged substance

exposure and lack of physical activity. When this occurs, their bodies become vulnerable to

infections based on reduced immunological competence and complications of their existent

illnesses. The use of the social cognitive theory accurately influences behavioral changes among


elderly persons as it affects them to increase control of their health due to advice provided to

them (Islam et al., 2023). Advice about the benefits of physical activity allows recognition of an

older pattern of lack of activity detrimental to elderly persons affected by COPD. Change is

possible when nurse practitioners integrate their expertise in reducing the occurrence of COPD

for those persons found to be healthy and managing physiological status.



Boudewijns, E. A., Babu, G. R., Salvi, S., Sheikh, A., & van Schayck, O. C. (2018). Chronic

obstructive pulmonary disease: a disease of old age? Journal of Global Health, 8(2),


CDC.Gov. (2022). County-level Estimates. Retrieved from


Islam, K. F., Awal, A., Mazumder, H., Munni, U. R., Majumder, K., Afroz, K., Tabassum, M. N.,

& Hossain, M. M. (2023). Social cognitive theory-based health promotion in primary

care practice: A scoping review. Heliyon, 9(4), e14889.


Tashkin, D. P., & Strange, C. (2018). What role do inhaled corticosteroids play in the treatment

of chronic obstructive pulmonary disease? Chronic obstructive pulmonary disease

international journal, pp. 13, 2587–2601.

Xiang, X., Huang, L., Fang, Y., Cai, S., & Zhang, M. (2022). Physical activity and chronic

obstructive pulmonary disease: a scoping review. BMC Pulmonary Medicine, 22(1), 301.

Yan, LC., Lu, HY., Wang, XY. et al. (2023). Prevalence and risk factors of frailty in chronic

obstructive pulmonary disease patients: systematic review and meta-analysis. Eur Geriatr

Med 14, 789–802.

  • Topic: Chronic Obstructive Pulmonary Disease (COPD)

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