Begin reviewing

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.


Post your initial response to one of the two topics below.

Topic 1

Review Healthy People 2020 Global Health Initiatives.

  • Choose one disease process and discuss the disease process.
  • Discuss the goals for this disease presented in Healthy People 2020
  • How does the CDC play a role in meeting the goals?

Topic 2

Search the South University Online Library for information about caregiver role strain.

  • What is the most important factor that causes caregiver role strain?
  • How do you assess for caregiver strain?
  • What can be done to prevent or decrease caregiver role strain?

Peer 1

According to Hayes, Chapman, Young and Rittman (2015), chronic disease affects the lives of family members causing physical, emotional, social and economic problems. Caregivers are at risk for caregiver role strain due to increased obligations and responsibility related to the role of caregiving. Many studies show that caregivers often neglect themselves in the process of caregiving. According to Yigitalp, Surucu, Gumus, and Evinc (2017) primary caregivers reported high levels of stress and moderate levels of social support when giving care to patients living with a chronic disease. Furthermore, Collins et al., (1994) defines caregiver burden as experiences of negative outcomes such as psychological distress carried by the care giver who takes on the burden of care. Changes and frustrations in the lives of caregivers and there family can cause the care taker experience somatic and psychosomatic problems. Instruments such as questionnaires, scales and indexes have been developed to measure and assess caregiver role strain and perceived social support. For example, in 1980, Reever and Bach-Peterson developed the Zarit Care Giving Burden Scale (ZCGBS) to evaluate stress levels of caregivers of individuals requiring care (Yigitalp et al., 2017). At the start of care, the nurse must observe communication pattern with the patient in their family to assess knowledge about disease, and note attitudes and behavior during the care giving process. This will help the nurse focus on caregiver responsibilities and develop appropriate interventions for the complete care plan.


Collins CE., Given BA. & Given CW. (1994) Interventions with family caregivers of persons with Alzheimer’s disease. The Nursing Clinics of North America 29(1): 195-207.

Hayes J., Chapman P., Young LJ. & Rittman M. (2015) The prevalence of injury for stroke caregivers and associated risk factors. Topics in Stroke Rehabilitation16(4):300-308.

Yigitalp, G., Surucu, H. A., Gumus, F., & Evinc, E. (2017). Predictors of Caregiver Burden in Primary Caregivers of Chronic Patients.International Journal of Caring Sciences,10(3), 1168–1177.

Zarit SH., Reever KE. & Bach-Peterson J. (1980) Relatives of the impaired elderly: correlates of feelings of burden. The gerontologist 20(6): 649- 655.

Peer 2

Diabetes is a serious public health problem throughout the world, affecting people of all ages. When uncontrolled, diabetes can place drastic limits on daily life, and is sometimes fatal.

Blood glucose is your main source of energy and comes from the food you eat. According to the NIH, Diabetes is a disease that occurs when the blood glucose is too high (2016). Insulin is a hormone produced by the pancreas to regulate the blood sugar, sometimes the body does not produce enough insulin, or the body does not utilize the insulin well. There are three different types of diabetes, type 1, type 2, and gestational. With type 1 diabetes, the body does not produce insulin and the individual has to use insulin to manage their blood sugar; type 2 diabetes the body does not produce enough insulin; gestational diabetes is developed by some pregnant women with chances of going away after having the baby, but increases the risk of type 2 diabetes in the individual (NIH, 2016)

Healthy People 2020 goals to control diabetes is to reduce the disease burden of diabetes mellitus (DM) and improve the quality of life for all persons who have or are at risk for diabetes. Also reduce the annual number of new cases in the population and reduce the rate of death among people with diabetes. Healthy people 2020, the CDC, in conjunction with many other organizations are working together to accomplish all the objectives by providing funds to train medical personnel which ensures proper treatment, assessments, and education about management of diabetes are available to the community (Healthy People 2020, 2020).

Healthy People 2020. (2015). Diabetes. Retrieved from

What is Diabetes? (2016, December 01). Retrieved July 31, 2020, from