[Expert Solution]: Charlie Shelton is 48 years old and has been…

Charlie Shelton is 48 years old and has been in excellent health. He operates heavy machinery for a construction team that clears environmentally polluted sites in an inner city. These sites are known to be contaminated (lead, mercury, other chemicals), so he visits the occupational health nurse, who supervises intermittent blood testing and physical examinations. He has never smoked and tries to follow the best health advice. He has two children laged 15 and 18 years). His wife Sarah was working as a licensed practical nurse in a skilled nursing facility until she injured her back and is now receiving disability insurance payments. The elder child plans to enter college next fall, but the Sheltons wonder how they will afford and manage this. Sarah is also the sole caretaker of her mother, who is 80 years old and is in need of increasing assistance. Although Charlie and Sarah worked hard and saved money all their lives, they are worried about college costs, funding an eventual retirement, and the cost of care for Sarah’s mother. In addition, Sarah’s injury has made them far more conscious about workplace hazards and exposures. The occupational health nurse sees Charlie to assess his physical health; she is also a source for additional referral and support. What types of health care providers and referrals are needed by the Sheltons? What can health care providers do to guide and support the Sheltons during this stressful time? What other health-promotion and wellness strategies might be suggested and implemented to help them? What community organizations might the health care provider recommend to meet the needs of this family? What responsibilities do health care providers and policymakers have to provide health promotion to middle-aged adults?