A plan of wellness for women across the lifespan

by | Mar 9, 2025 | Essays

 

 

 

 

As a nurse practitioner you will develop a plan of wellness for women across the lifespan, inclusive of adolescence, child-bearing years, and beyond. Follow the case of Mary below and develop a wellness plan for each life phase. For each age, include the well visit content, immunizations, preventive screenings and at least one education related to age in life.

At age 18 Mary is healthy. What are her well visit and screening needs?

At age 40 Mary is early in rheumatoid arthritis. She has two teenage children and is sexually active. What are her well visit and screening needs?

At age 65 Mary is disabled due to severe rheumatoid arthritis. What are her well visit and screening needs? What additional concerns and recommendations will you have for her as a disabled woman? How can you demonstrate and advocate for policies/practices that promote social justice and health equity for Mary’s needs?

Provide evidence-based sources.

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Mary’s Wellness Plan Across the Lifespan

1. Mary at Age 18 (Adolescence/Early Adulthood)

  • Well Visit Content:
    • Review of medical history, including family history.
    • Assessment of physical and mental health.
    • Discussion of lifestyle habits (diet, exercise, substance use).
    • Assessment of sexual health, including contraception and STI prevention.
    • Mental health screening for depression, anxiety, and substance use.
    • Discussion of healthy relationships and violence prevention

Mary’s Wellness Plan Across the Lifespan

1. Mary at Age 18 (Adolescence/Early Adulthood)

  • Well Visit Content:
    • Review of medical history, including family history.
    • Assessment of physical and mental health.
    • Discussion of lifestyle habits (diet, exercise, substance use).
    • Assessment of sexual health, including contraception and STI prevention.
    • Mental health screening for depression, anxiety, and substance use.
    • Discussion of healthy relationships and violence prevention
  • Immunizations:
    • Meningococcal booster (if not previously received).
    • Influenza (annual).
    • HPV vaccine (if not completed).
    • Tdap booster (if not within the past 10 years).
  • Preventive Screenings:
    • Blood pressure measurement.
    • Pelvic exam and Pap smear (if sexually active).
    • Screening for sexually transmitted infections (STIs), if sexually active.
    • Cholesterol screening (if risk factors present).
    • Mental health screening.
  • Education:
    • Safe sexual practices and contraception.
    • Substance use prevention and harm reduction.
    • Healthy lifestyle choices (diet, exercise, stress management).

2. Mary at Age 40 (Childbearing Years/Middle Adulthood)

  • Well Visit Content:
    • Review of medical history, including rheumatoid arthritis management.
    • Assessment of physical and mental health.
    • Discussion of lifestyle habits and stress management.
    • Assessment of sexual health and family planning.
    • Discussion of menopausal symptoms (if applicable).
    • Review of rheumatoid arthritis symptoms and medication management.
  • Immunizations:
    • Influenza (annual).
    • Tdap booster (if not within the past 10 years).
    • Pneumococcal vaccine (if recommended due to RA).
  • Preventive Screenings:
    • Blood pressure measurement.
    • Mammogram (annual or biennial, depending on guidelines).
    • Cervical cancer screening (Pap smear and/or HPV testing, depending on guidelines).
    • Cholesterol screening.
    • Diabetes screening.
    • Colon cancer screening (age 45, depending on guidelines).
    • Bone density screening (if risk factors present, especially with RA).
    • Rheumatoid arthritis disease activity monitoring.
  • Education:
    • Management of rheumatoid arthritis, including medication adherence and joint protection.
    • Menopause management (if applicable).
    • Healthy lifestyle choices for chronic disease prevention.
    • Teenage parenting skills and support.

3. Mary at Age 65 (Older Adulthood)

  • Well Visit Content:
    • Comprehensive geriatric assessment, including functional status and cognitive assessment.
    • Review of medical history, including rheumatoid arthritis management.
    • Assessment of physical and mental health.
    • Discussion of fall prevention and home safety.
    • Assessment of medication management and potential drug interactions.
    • Discussion of advance care planning.
  • Immunizations:
    • Influenza (annual).
    • Pneumococcal vaccine.
    • Zoster vaccine.
    • Tdap booster (if not within the past 10 years).
  • Preventive Screenings:
    • Blood pressure measurement.
    • Mammogram (depending on guidelines).
    • Cervical cancer screening (depending on guidelines).
    • Colon cancer screening (depending on guidelines).
    • Bone density screening.
    • Vision and hearing screening.
    • Cognitive assessment.
    • Fall risk assessment.
  • Additional Concerns and Recommendations for a Disabled Woman:
    • Assessment of accessibility needs (home, transportation, healthcare facilities).
    • Referral to occupational therapy and physical therapy for adaptive equipment and strategies.
    • Assessment of social support and access to community resources.
    • Discussion of pain management and strategies for coping with chronic pain.
    • Monitoring for depression and anxiety, which are common in individuals with chronic illness and disability.
    • Assessment of caregiver support.
  • Demonstrating and Advocating for Social Justice and Health Equity:
    • Advocate for accessible healthcare facilities and transportation.
    • Support policies that provide affordable and accessible healthcare for individuals with disabilities.
    • Educate healthcare providers and the community about the needs of individuals with disabilities.
    • Promote the use of assistive technology and adaptive equipment.
    • Support legislation that protects the rights of individuals with disabilities.
    • Advocate for policies that improve access to home and community based services.
    • Work with community based organizations that provide support for disabled people.

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