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How AGACNPs tailor risk assessments for patients with chronic health problems

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Risk assessments are a great tool for creating treatment plans for patients with chronic health problems. In North America, there is a large population of aging adults. More people are living longer with chronic conditions than ever before. It is important for doctors and nurses to consider pre-existing conditions and current overall health before any treatments or prescriptions are offered to a patient.

Family history

Some conditions have genetic links. For example, heart disease, diabetes and cancer may be more likely to occur in individuals who have family members who have suffered from the same conditions. This is particularly true if a patient has a parent, grandparent, aunt or uncle who has the condition. 

Patients should be encouraged to ask about their family health history if they are unsure or unable to answer some questions.

Previous health history

It is important for adult-gerontology acute care nurse practitioners (AGACNPs) to carefully review a patient’s previous health history. This is especially true if a patient is new to a practice or health system and has limited health records. Older individuals may have fairly extensive health records, but they may lack detail or be hard to obtain if they were recorded before digital records were the normal way of recording information.

Health history questions should include any mental or physical illnesses or conditions. A distinction should be made between patient-provided information and conditions that have been diagnosed by a doctor.

Lifestyle and habits

Personal choices have a lot to do with health and risk levels. AGACNPs should ask patients about their diet and exercise habits. Are they sedentary for a large portion of the day due to their job? Do they eat regular meals, and what do they consist of?

Alcohol and drug use must be addressed. This is a tricky matter because patients who are using any substance at all are likely to say they are using it less or not at all out of fear of judgment or concerns about legal repercussions. AGACNPs should consider asking these questions in a non-judgmental way. Explaining that you are there to help, not complicate matters for them, is a good start. 

Pre-existing conditions

Sometimes, those with chronic health issues have other conditions that are already documented, which can cause them to be at increased risk for other health issues. For example, if a patient has high blood pressure, they are at higher risk for cardiac problems, including strokes and heart attacks.

A complete physical exam and lab work once per year can help diagnose and catch problems before they advance in severity. This allows patients to lead healthier and longer lives while reducing the cost of healthcare over their lifetime.

Preventative care visits may seem like extra trips for people who want to avoid doctor visits, but the truth is that over the years, they prevent extra visits overall since patients stay healthier.

Risk assessments support reasonable and realistic treatment plans

Creating a proper treatment plan means knowing as much as possible about a patient. Risk assessments help determine what factors must be considered to provide the patient with the highest level of care. 

Risk assessments also help to develop an excellent preventative care routine for each patient. When you know that you are at increased risk for specific conditions, preventive health screenings and testing can be tailored to fit your needs.

Risk assessments minimize unsatisfactory treatment results

There are a lot of treatments and medications out there that help many patients, but some treatments are not always suitable for everyone. Medical teams need to know all the risk factors that may apply to a patient before they decide to proceed with something as simple as trying a prescription medication.

Risk assessments may also help determine whether a patient needs to take preventative medications or even have preventive procedures if the risk is serious enough.

Risk assessments support safe surgeries

Surgical procedures can vary in seriousness and recovery time. Patients must be assessed to ensure they are considered healthy enough to do well throughout surgery. Before surgery, a patient is assessed for risk factors related to anesthesia. If there is a high probability of a blood transfusion being needed, then questions and tests will be conducted to make sure a patient is a good candidate for a transfusion.

Knowing all the pre-existing factors will allow the surgical care team to perform their job effectively and ensure patient safety and quality of care.

Adult care nurses help assess older patients

Adult-gerontology acute care nurse practitioners are specialists who help older adults learn to live with chronic conditions. They are responsible for assessing and recommending treatments based on the risk assessments they conduct. Reputable institutions such as Rockhurst University offer an accredited MSN AGACNP program that is designed for working nurses who want to advance their careers and choose an in-demand specialization. 

The program can be completed in as little as six semesters as a full-time student and eight semesters part-time. Clinical placement services are included so you can finish your degree on time and concentrate on gaining practical experience while having a great mentor to guide you.

Conclusion

Risk assessments are important for adult patients battling chronic conditions. It is essential that medical workers take the time to conduct a proper risk assessment every time a patient enters their practice or is diagnosed with a different condition.

AGACNPs are needed to help care for the large population of aging adults living with chronic conditions. Now is a great time for nurses to consider an advanced degree because they have the option of completing coursework online while continuing in their current position as an RN. 

Michelle has been a part of the journey ever since Bigtime Daily started. As a strong learner and passionate writer, she contributes her editing skills for the news agency. She also jots down intellectual pieces from categories such as science and health.

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Health

How a Quiet Fulham Clinic Became London’s Most Coveted Wellness Secret

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Photo Courtesy of: Spa & Massage

Byline: Gerome Alvarez

In London’s cutthroat wellness landscape, few businesses manage to capture community attention without fanfare or celebrity endorsements. Yet Spa & Massage Fulham has accomplished exactly this, weaving itself into the cultural fabric of one of London’s most discerning neighborhoods within weeks of its September 2025 opening. The phenomenon began as whispers among friends, colleagues, and neighbors—all independently discovering what would soon become known across social media platforms as “the best massage in London.”

This organic word-of-mouth growth reveals something deeper than marketing prowess; it signals a genuine transformation in how Londoners approach wellness and self-care. The clinic at 709 Fulham Road represents more than successful business expansion; it embodies a broader cultural shift toward viewing therapeutic massage as essential healthcare rather than occasional luxury.

The Science-Backed Foundation

The surging demand for massage therapy is not merely about relaxation; it is rooted in substantial scientific evidence that validates what clients experience firsthand. Research consistently demonstrates that massage therapy reduces cortisol levels by up to 31% while increasing mood-regulating neurotransmitters serotonin and dopamine by 28% and 31% respectively. These physiological changes translate into tangible benefits: improved sleep quality, enhanced focus, reduced chronic pain, and strengthened immune function.

“Massage therapy works in multiple ways to help reduce stress. First and foremost, it helps to lower levels of cortisol, the primary stress hormone,” explains recent research on therapeutic massage. For London’s high-pressure lifestyle, this represents more than indulgence; it is preventive healthcare. The integration of scientific expertise sets Spa & Massage apart from typical wellness businesses, with Professor Eyal Lederman, a world-renowned expert in neurophysiology and manual therapy, serving as the company’s medical director.

The Visionary Origins

The story begins in 2007 when entrepreneurs Alykhan and Nicole Thobani, inspired by journeys through Thailand, recognized a fundamental gap in London’s wellness market. Rather than treating massage as an expensive luxury, the couple witnessed how Eastern cultures integrated therapeutic touch as essential to balanced living, as fundamental as diet and exercise. This revelation sparked the mission to bring accessible, high-quality massage therapy to London’s high streets.

“What sets us apart from other massage therapy providers is having Professor Eyal Lederman as part of our team,” Thobani explains. Professor Lederman’s research at King’s College London on the neurophysiology of manual therapy provides the scientific foundation that distinguishes Spa & Massage from competitors. Nearly two decades later, the company now serves over 2,500 clients weekly across seven London locations, with each expansion building upon lessons learned from previous successes.

The Fulham Experience Defined

The newest location deliberately avoids ostentatious luxury, instead creating what insiders describe as “understated sophistication”—an environment that whispers quality rather than shouting opulence. Central to the experience is the signature bespoke tea blend, crafted in-house to begin each client’s journey toward relaxation. This attention to detail extends throughout the treatment, where therapists like Roxanne—with backgrounds in clinical physiotherapy and experience from London’s most prestigious five-star spas—deliver what clients describe as transformative sessions.

The clinic’s approach attracts therapists of exceptional caliber, including professionals like Olga, who draws “many celebrity clients and high-profile athletes” for her transformative skills. Operating seven days a week from 9:00 AM to 10:00 PM, the clinic makes professional massage therapy accessible to busy Londoners seeking consistent, science-backed wellness solutions. The discrete nature of the clientele, protected by sunglasses and an air of privacy, has only added to the brand’s mystique and appeal.

Building an Extraordinary Following

Since its inception, Spa & Massage Fulham has cultivated what can only be described as a devoted following that transcends typical service provider relationships. “Our team is obsessed with making sure that each client has an expert massage, with a positive health and wellbeing outcome,” Thobani notes. This focus on measurable results rather than superficial relaxation has attracted clients who view regular massage not as an occasional indulgence but as essential maintenance for peak performance.

Client testimonials consistently emphasize transformational outcomes that extend far beyond the treatment room. “I have been coming for my regular massage every week for years now, I just sleep better, I am happier, calmer, and perform at my very best. With massage therapy I live my best life. It is like I feel superhuman during the week,” shares one long-term client. This level of commitment reflects a fundamental shift in how affluent Londoners prioritize health and wellbeing, with weekly bookings becoming the norm rather than the exception among regular clients.

The Future of London Wellness

Perhaps most intriguingly, Spa & Massage has attracted backing from heavyweight private equity professionals and investment banking leaders, not as corporate investments, but as personal commitments from individuals who became clients first. These investors, who Thobani diplomatically describes as preferring discretion, represent a fascinating convergence of professional success and personal wellness priorities. This phenomenon reflects broader trends in the wellness investment landscape, where private equity firms increasingly recognize the substantial returns in premium wellness services.

As Spa & Massage Fulham establishes itself in one of London’s most competitive wellness markets, it represents the evolution of urban healthcare toward proactive, science-backed solutions. The clinic’s success suggests that Londoners are ready to embrace massage therapy as an essential component of modern urban living, challenging traditional notions of luxury and self-care. In this context, the quiet revolution unfolding at 709 Fulham Road points toward a future where wellness is not an afterthought but a cornerstone of how successful professionals maintain an edge in an increasingly demanding world.

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