Exercise can reduce the risk of various health issues in middle age adults; according to the Centers for Disease Control and Prevention (CDC, 2015), benefits of physical activity include reducing the risk of cardiovascular disease, type two diabetes, and cancers as well as help improving mental health, mood, and ability to perform activities of daily living. According to an article, “Middle-Aged Adults Behind on Prevention,” by the American Society on Aging (ASA, 2013) found that 25,000 to 40,000 deaths per year among Americans younger than age 65 could be prevented if these individuals would quit smoking, lose weight, exercise routinely, eat healthily, and use of recommended clinical preventive services. This article further found that 44% of middle age adults are reported having high blood pressure and 33% were obese, which maintaining a healthy lifestyle and physical activity are critical keys to healthy aging (ASA, 2013).  

Next, according to the World Health Organization (WHO, 2017), physical activity such as walking, dancing, gardening, hiking, swimming, walking, cycling, household chores, or game sports, are benefits in improving cardiorespiratory and muscular fitness and bone health in adults aged 18-64; however, an adjustment is needed for each individual based on their capacity and specific health risks or limitations.  To incorporate exercise and physical health into my clients, I would use the nursing process to assess the client’s understanding about his or her current health, current or chronic illness, and knowledge about health promotion, in order to create and effective individual care plan. Lastly, the approach to use to gain cooperation from my clients would be, for examples, using teach back method to determine the client’s understanding and/or encourage the clients to keep journal of their physical activities and to bring it in at the next follow-up appointment.

References

The American Society on Aging (ASA). October 17, 2013. Middle-aged adults behind on prevention. Retrieved October 24, 2017 from http://www.asaging.org/blog/middle-aged-adults-behind-prevention

The health care delivery system of today has undergone tremendous change, even over the relatively short period of the past decade. New and emerging technologies, including drugs, devices, procedures, tests, and imaging machinery, have changed patterns of care and sites where care is provided. The growth of managed care and payment mechanisms employed by insurers and other payers to control the rate of health care spending has also had a major impact on health care utilization.  People who cannot pay for health services, either out-of-pocket, through private or social health insurance such as Medicare, through public program such as Medicaid may not receive needed health care in the United States.

Health reform worldwide is required due to the largely aging population, increase in chronic disease, and rising costs (ANA, 2012). To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in the health policy, planning, and provision. Although nurses form the largest group of health professionals, they are frequently restricted in their scope of practice. Nurses can help to improve health services in a cost-effective way.

Improving the health care delivery system is a key to improving the health of all Americans. Even if the access, quality, and cost problems in the medical system are resolved, a traditional view of the delivery system must expand to include population- wide program for the system to reach its full potential.

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