Do you agree with your peers’ assessment?
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Initial Discussion Question/Prompt Due Wednesday by 11:59 pm
During this advanced health assessment course, remember the Vision is to become a master’s prepared certified nurse as a NE, NL, or FNP so keep that goal in the forefront of your mind during this course. We will be looking deeper into health assessment, health promotion, and health prevention. Read the article Improving Healthcare by Embracing Systems Theory as well as the Center for Disease Control’s Picture of America Prevention. We will apply the System’s Approach to health prevention for this week’s discussion.

Using a systems theory approach through this course helps retain stability through three levels of prevention:

Primary prevention to protect the normal line and strengthen the flexible line of defense.
Secondary prevention to strengthen internal lines of resistance, reducing the reaction, and increasing resistance factors.
Tertiary prevention to readapt and stabilize and protect reconstitution or return to wellness following treatment.
Using the course materials on the Systems Theory for this week’s discussion, provide one example of health prevention from the levels above and how you may use this information in the comprehensive health assessment.

Discussion Peer/Participation Prompt [Due Sunday]
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least three of these prompts:

Do you agree with your peers’ assessment?
Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
Share your thoughts on how you support their opinion and explain why.
Present new references that support your opinions.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format. Please respond to peers below:

Ama Slay
TuesdayMay 11 at 9am
Unit 1: Initial Discussion

The most important prevention is primary prevention, such as immunization, because it prevents illness from taking place. The main goal of primary prevention is to prevent illness and disease by reducing risks and improving patients’ immunity. Preventing illnesses from occurring leads to a healthier patient and less complications in the future. A present-day example of preventive measures showing preventions in the heath of populations is the COVID 19 vaccine. Trial research began in July of 2020, for the mRNA-1271 vaccine, and now shows the results of 94.1 % efficacy in the prevention of COVID-19 (National Institute of Health, 2020). The high efficacy of 94.1% shows that these vaccines work and will be effective in saving many lives during the COVID-19 pandemic.

Immunizations are an essential topic to address during comprehensive assessments of patients. While going over past health history in adult patients, health maintenance practices are discussed, including immunizations, screenings tests, living healthy lifestyles and safety at home (Bickley & Lynn, 2016). During the health history part of the assessments, questions can be asked for patients to reveal their immunization practices. For example, some patients may explain that they refuse to take vaccinations due to religious reasons. This is a good time to provide education on immunization, as well as respecting patients’ wishes. During the COVID-19 pandemic conversation about immunization is extremely important for patients. Some patients might not get COVID-19 vaccines due to a need for transportation, and even fear. Additionally, inquiry about whether patients have taken other immunizations is important. Some other immunizations to inquire about are the flu, tetanus, varicella, pneumococci, measles, mumps, and rubella immunizations (Bickley & Lynn, 2016). Each immunization education will be different based on age, for example, the pneumonia vaccine can be discussed with healthy individuals aged 65 and older..

Systems theory can be applied to primary preventative measures during the comprehensive assessment. When applying systems theory, one assumes that others try to good work, but their actions can be affected by external influences and systems (Anderson, 2016). For example, a patient may have previously had a desire to get a COVID-19 vaccine to protect themselves and others but changes their mind due to media advertisements against vaccination. Using systems theory allows the provider to find patterns and understand how system failures affect patients (Anderson, 2016). After observing the reasons that patients refuse vaccines, providers can strategize ways to assist patients to be more comfortable with the idea of vaccination.


Anderson B. R., (2016). Improving health care by embracing systems theory. The Journal of Thoracic and Cardiovascular Surgery, 152(2), 593–594. (Links to an external site.)

Bickley, Lynn. (2016). Bates’ guide to examination and history taking. Wolters Kluwer Health [Bookshelf Ambassadored].

Kisling, L.A, M Das J. Prevention Strategies. [Updated 2020 Jun 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: (Links to an external site.)

National Institute of Health. (December, 2020). Peer-reviewed report on moderna COVIID-19 vaccine publishes. events/news-releases/peer-reviewed-report-moderna-covid-19-vaccine-publishes (Links to an external site.)

Edited by Ama Slay on May 11 at 9:02am

Paige Williams
TuesdayMay 11 at 10:10am
The systems theory helps think about management as a linear process (Anderson, 2016). Diabetes is a chronic condition that affects many. Primary prevention measures are factors that are taken to prevent diabetes from occurring, many of these factors are environmental. According to the NIH (2016), weight management, physical exercise, and consuming healthy food options can all lower the chances of developing type II diabetes. Within primary prevention of any disease education is key. These factors can be assessed through a comprehensive health assessment, another important thing to gather is family history. Secondary prevention of diabetes begins with the diagnoses and aims to reduce the impact of the disease into further problems. Untreated or poor maintained diabetes can lead to damage to blood vessels further leading to heart attack, stroke, kidney problems, eye and nerve damage. Regular exams and screenings are all apart of secondary prevention for the diabetic patient this can include getting an A1C checked every three months. Kidney function test, visual exams are also included within secondary prevention. Diet and exercises programs are also apart of secondary prevention and should be an option for the patient. Tertiary prevention helps those manage complications from poor maintenance and further progression of disease. One example would be beginning a patient on insulin therapy to better control their blood sugars in order to prevent worsening complications for example an amputation from poor circulation.


Anderson B. R. (2016). Improving health care by embracing Systems Theory. The Journal of thoracic and cardiovascular surgery, 152(2), 593–594.

Preventing Type 2 Diabetes. (2016, December 1). Retrieved May 6, 2020, from (Links to an external site.)

Working Together to Manage Diabetes: A Toolkit for Pharmacy, Podiatry, Optometry, and Dentistry (PPOD). (2016, February 19). Retrieved May 6, 2020, from