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Regular physical activity is a key to both primary and secondary prevention of chronic diseases. Intensive physical exercise lowers the risk of developing cancer, diabetes type 2, and cardiovascular diseases in middle-aged individuals.

Cardiovascular disease results from smoking as well as high blood cholesterol levels. According to Anderson et al. (2016), the current prevalence of cardiovascular diseases is 7.9%, with more frequent incidences among middle-aged obese individuals. The authors show that intense exercise of about 5.5 METs (metabolic equivalents) for at least 40 minutes per week reduce the risk of heart disease by 50% as well as decrease the obesity rate (Anderson et al., 2016). Therefore, as a professional nurse, I would advise my patients to engage in regular physical activities such as jogging and running for 2 hours a day as a way of reducing the occurrence of cardiovascular diseases.

Apart from heart diseases, cancer is preventable through physical exercise. Cancer is the second leading cause of death in the U.S., with a prevalence rate of 23% (Siegel, Miller, & Jemal, 2016). These statistics indicate the severity posed by cancer that requires an immediate integrated physical action plan. However, the research reveals that the risk of colon cancer reduces by 30%-40% in physically active individuals, with 20%-30% relative risk reduction in women who have breast cancer (Siegel, Miller & Jemal, 2016). So, the patients suffering from cancer should take regular and controlled exercise such as jogging, running, and walking in order to reduce stress levels posed by the disease.

Furthermore, according to the Center for Disease Control and Prevention, in 2012, 209.1 million (9.3%) of Americans had diabetes, with its prevalence in the 11.8 million seniors standing at 25.9% (Center for Disease Control, 2013). In patients with Type 2 diabetes walking for approximately 2 hours per week, the risk of developing the condition reduces since calories are burned during exercise. Therefore, as a nurse, I should advise my patients to undertake a minimum 2-hour training exercise to prevent risks associated with diabetes.

As for the approach that I need to apply to ensure cooperation with the patients, I believe that effective communication will be the most significant. Through the nurse-patient interaction, the latter will receive critical information on the importance of exercise as well as the risks associated with various diseases. In the process of communication, I need to involve my body language and right tone to win their trust.

The patients with Type 2 Diabetes, cancer, and cardiovascular diseases need efficient physical training to reduce associated risks and premature deaths. I need to convince the sick to engage in physical training through an efficient communication that highlights the importance and mechanism of the exercise.


Anderson, L., Oldridge, N., Thompson, D. R., Zwisler, A. D., Rees, K., Martin, N., & Taylor, R. S. (2016). Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. Journal of the American College of Cardiology, 67(1), 1-12. doi: 10.1016/j.jacc.2015.10.044

Center for Disease Control and Prevention. (2016). 2014 National diabetes statistics report. Retrieved from https://www.cdc.gov/diabetes/data/statistics/2014statisticsreport.html

Siegel, R. L., Miller, K. D., & Jemal, A. (2016). 2016 Cancer statistics. A Cancer Journal for Clinicians, 66(1), 7-30. doi: 10.3322/caac.21332

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Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation

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