Health Promotion Project

2

THIS IS THE BACKGROUND OF MY PARTICIPANT FOR MY PROJECT

Demographics
Initials: T.P Age: 33 Sex: Female	Primary Language Spoken: English Cultural Background:_Jamaican ______________________________________
General Health
How would you rate your general health?	Fairly Okay
Have you had a wellness checkup with a healthcare provider in the past year?	Yes, July 2023.
Have you ever been told by a health care provider that you have a chronic disease such as hypertension, diabetes, heart disease, stroke, arthritis or kidney disease?	No, although, I was told that I was pre-diabetic.
In the past month, have you had pain on more than three days that impacted your ability to perform your normal daily activities? If yes: · Where was the pain located? · What have you tried to relieve the pain?	Yes, pain in my shoulders arms due to moving. I took Motrin as well as my electrical massage machine to help alleviate the pain. With time, the pain diminished.
How would you rate the quality of your sleep? · How many hours do you regularly sleep in a night? · Do you ever wake up before you wanted to? · Do you have problems falling asleep?	My sleep schedule is a little off. I work the night shift schedule about 4xs/week so I sleep during the day. My alarm usually wake me up, so I wake up in time. The following day when I’m off, I would sleep until 3pm so that I will be able to sleep easily at night. My 2 kids usually tire me out by then so it all works out.
Medications
Are you currently taking medicine for any chronic condition? · Do you know what the medication is used to treat? · Have you missed doses of your medication in the last week?	No, I am not on any meds.
Women Only:
Are you pregnant or planning on becoming pregnant in the next year?	NO, not pregnant and do not plan on it in the next year
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram? · If yes, when was your last mammogram?	Yes, it was in July 2023.
A Pap test is a test for cancer of the cervix. Have you ever had a Pap test? · If yes, when was your last Pap test?	Yes, July 2023
Men Only:
A PSA test is a test for cancer of the prostate. Have you ever had a PSA test? · If yes, when was your last PSA test?	N/A
Lifestyle
Do you now smoke cigarettes every day, some days or not at all? · If you are currently smoking, have you tried to quit? · If yes, what methods have you used to quit smoking? · Were the methods successful?	No, never smoked.
For the questions below consider the past week in your answer:
How many times did you take part in physical activity of at least 30 minutes during the past week? · If yes, what type of physical activity? · If no, why? · Was the past week representative of your normal level of physical activity?	The only activity I partake in are just the regular mom duties such as house upkeeping/cleaning, grocery shopping/miscellaneous shopping, dentist/doctor appointments for my kids and I. I’m a single mom so I don’t want to bother/inconvenient anyone to babysit my kids. My brother and aunt already help me with the kids while I am at work. Yes, my past week does represent my normal level of physical activity
How many hours a day in the past week do you think you spent on sedentary activities where you remained sitting for extended periods of time? · What activities were you doing during these times?	As an RN, I’m almost always on my feet 4 days/week. The other 3 days, I would estimate about 15 hours of sedentary activites such as reading, researching/doing hw for school, watching movies with the kids.
To the best of your recollection, what food items have you eaten for breakfast in the past week?	I usually do not eat breakfast when I am off from work. Sometimes, after work I would get bacon from the cafeteria. On my off days, I would ingest eggs, toast, bacon, fruits, ackee with saltfish and fried dumplings/festivals, and pancakes.
To the best of your recollection, what food items have you eaten for lunch in the past week?	Hot dogs, tuna sandwich
To the best of your recollection, what food items have you eaten for dinner in the past week?	Steak, chicken, and rice with asparagus, broccoli
What beverages do you routinely drink? · How many times per week did you drink soda or pop? · How many glasses of water do you drink in a day?	Fruit juices, soda, water 3x week soda, at least glass of water per day
Do you eat snacks throughout the day? · If yes, what snacks do you routinely eat? · What time in the day do you regularly eat snacks?	Yes, peanuts, almonds, saltine crackers in the afternoon around 2pm
How many times per week have you skipped meals?	3x week
For the questions below consider the past 30 days in your answer:
What is the largest number of alcoholic drinks you had on any occasion in the past 30 days?	3
Have you used any drugs or other substances, other than those that are prescribed for medical reasons? · If yes, what substance(s) did you take? · How many times have you used this substance in the past 30 days?	No
In the past 30 days, how many times have you eaten a meal outside of the home; at a restaurant or other venue?	2x
For the question below, consider all lifestyle behaviors (combined) in your answer:
Do you believe you lead a healthy lifestyle? Please explain your answer?	No. I do not take the initiative to eat healthily all the time
Mental Well-Being
How often do you experience stress that exceeds your ability to cope? · What strategies do you use to control stress?	Never, I usually handle stress well. I don’t really procrastinate and would take the initiate right away to work on the situation/issue.
How often do you get the emotional and social support you need? · Who would you describe as your support system?	I’m lucky to have the people in my life to help support my emotional and social support. I have my aunt and brother that’s here and my sister and mom is just a phone call away to help me vent and process different things.
Over the last two weeks, how many days have you felt down, depressed or hopeless? · If you have felt these feelings, what actions did you take to make yourself feel better?	none
Access to Preventative Services
Do you feel you have access to preventative health screenings and education? · Do you have health insurance? · Have you ever skipped care (Prescriptions, therapy, specialist visits etc.) that was recommended to you because of concerns regarding the cost of the care?	Yes. I do have health care insurance and I never skip care
Education
Where do you normally receive health information? Examples could be the internet, health care provider, family or friends, etc.	Fromm my healthcare provider and sometimes from the internet
What health topic(s) would you like to have more information on, if available?	Weight loss, nutrition
How do you learn best? Do you learn best with one or multiple? · Visual- with PowerPoints, posters, pamphlets, brochures, demonstration · Audio- lecture, video, motivational interviewing · Kinesthetic- hands on, building, listening, and then taking action (return demonstration) Ask your individual if there are any variables that may affect or impede their leaning, such as a neurodivergent condition or a visual impairment (list them here). If there are learning impairments, ask your individual what they do	One thing at a time, visuals (no impairments)
Assess Medical Knowledge
On a scale of 0-10: How well does your participant understand their current health condition(s)? On a scale of 0-10: Are they able to talk about their medical condition in a way that is understandable and accurate? On a scale of 0-10: Do they understand how to take medications? Do they understand why they are taking medications and for what?	10 10 10

Application of Health Promotion Assessment (PAPER #1)

Based on the assessment, diverse results show some abnormalities. For example, based on the diet intake of the patients, the diet is highly organed and balanced with the consumption of whole foods, nuts, fruits, and vegetables which possess multiple health and well-being benefits. Moreover, the patient requires more education on nutrition issues. Based on the client's curet food intake, the results indicated a high level of knowledge on eating healthy through combining different and essential food items during breakfast, lunch, and supper. Equally, despite the client being pre-diabetic, there is a lack of preventive measures and healthy living, which could increase the risk of the disorder's advancement (Genewick, 2020). For instance, engaging in different physical activities, reducing a sedentary lifestyle, and increasing physical activity are essential in healthy living.

The assessment reveals various normal activities and information based on the report results. For instance, the participant nature of commitment to different daily chores creates barriers to engaging in physical activities. Attending work and having children at home enhance participant's tight schedule which prevents the participant from engaging in physical activities that improve her health by being pre-diabetic.

Style of Learning the Participant Prefers

The participant prefers learning through visuals due to a lack of impairments. Visual learning comprises PowerPoints, posters, pamphlets, brochures, and demonstrations, increasing the participant's learning and grasping of health information. Visual learning is an essential strategy in the healthcare system resulting from the increased capacity for the participants to understand the information being communicated. Education is a significant factor in improving the safety and quality of care, ensuring enhanced patient experience and outcome. Moreover, using the visual learning technique mentioned by the participant contributes to different benefits. For instance, such a learning style is essential in the healthcare system due to facilitating stimulation of the images and effects on their cognitive capabilities, increasing recalling of the learned information. The retainability of the learned information by the participant in 10/10 indicates a high level of learning efficiency. As a result, the education offered more so through the visual styles is significantly absorbed by the participant leading to an accurate understanding of health and well-being. Such participants have a vital role in increasing the efficiency of the healthcare system resulting from implementing health education taught through diverse practices and behaviors.

Long-Term SMART Goal

Specific

Changing towards eating healthily and engaging in exercise. Healthy eating involves decreasing soda intake to 3 ounces per week, increasing fruits and vegetables to five serving a day, and reducing daily sugar intake to 25 grams of added sugar. Engaging in physical activities such as evening walking and jogging for 20 minutes every Monday, Wednesday, and Saturday.

Measurable

Taking at least five servings per day from the current 2 serving per day. Reducing soda intake to 3 ounces and sugar to 20 grams. Evening walking and joggings three times per week to monitor the progress and changes in weight.

Attainable

Gradual increase in the intake of fruits and vegetables and decrease in sugar and soda intake for the three weeks.

Realistic

Healthy eating and physical exercises to loos 1 pound per week.

Time Bound

Engage in exercise three times a day for three weeks. Intake of five servings of vegetables and fruits for three weeks and reduce intake to 3 ounces for three weeks.

Short-Term SMART Goal

Increasing water intake from one glass per day to 8 glasses for one week.

Specific

Improving water intake from 1 glass to 8 per day in one week.

Measurable

The number of water glasses taken per day determines the progress in increasing the amount of water intake.

Attainable

Gradual increases in the number of glasses from 1 to 2 on Monday and four on Wednesday until 8 glasses by Friday.

Realistic

Increasing water intake from 1 glass to 8 glass within one week is practicable.

Time Bound

Reaching 8 glasses of water intake within one week.

The participants require diverse needs and resources to accomplish and attain the short- and long-term SMART goals. For example, the client requires education and training on the myriad benefits of achieving those goals (Genewick, 2020). Besides, the participant needs a well-organized schedule for the diverse activities to attain the goals effectively. For example, the participant required adequate education and training on physical activities, reducing soda and sugar intake, and increasing the intake of fruits and vegetables in the three weeks). Educating and training participant on the benefits of attaining those goals enhances increased participation based on the participant's positive health and well-being outcomes (Yen & Leasure, 2019). Besides, the participant requires time to engage in physical activities instead of only focusing on work and family issues.

Chronic disorder such as diabetes is a significant topic from the assessment of the client based on diverse rationale. Health education should focus on educating and training the participant in preventing measures for diabetes based on pre-diabetes conditions (Yen & Leasure, 2019). Furthermore, the motivation for the topic originates from participants being at high risk of developing chronic disorders due to sedentary lifestyles without engaging in physical activities.

References

Genewick, J. (2020, December 31).  Setting SMART goals for success. Mayo Clinic Health System.  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/setting-smart-goals

Yen, P. H., & Leasure, A. R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes.  Federal practitioner,  36(6), 284. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590951/

1. PAPER #2 ON: the educational session and a plan for how you will follow up with your learner (I plan on checking in at least once a week as a follow up at the subject’s home Discuss how you will implement your teaching plan

2. Write down the 1 weekly short term goal and 1 long-term goal you want your individual to achieve after 3 weeks

3. In the format of SMART Goals

4. Provide a realistic timeline for your individual

5. You will be checking in on them weekly after you deliver your educational session (weeks 8-10) and Week 10 you will turn in your evaluation.

6. The purpose of the weekly check-in is to evaluate if they are reaching the designated weekly goal and to develop any new short -term goals. 

7. Each week will be a checkpoint for your individual to see if they are on track in reaching their goals

8. Week 10- you will submit your evaluation

Step 3: Develop their written plan (this will be a plan for them to follow weeks 8, 9, 10)

· Plan to include actions you want them to be doing

· For example,/ideas to use:

· Diagnosis information: with a goal of improved (insert health related condition here)

· Nutrition information: adding a vegetable or fruit with every meal, diet specific to their diagnosis (diabetes, heart failure, etc), increasing water

· Exercise strategies: daily walks, incorporating movement into their daily life

· Alternative strategies: going to see a nutritionist, mental health counselor, etc

· Medical Advisement: frequency of checking blood sugars, checking blood pressures with certain medications (Frequency, when, keeping track of high/low blood pressures, etc)

· Week 10 you will evaluate your teaching plan and participant's response to plan.

Weight loss refers to creating a calorie deficit through dietary changes, increased physical activity, and different nutritional interventions (Freire, 2020). Maintaining a healthy weight is essential for overall health. This is because excessive weight is associated with health complications such as heart disease, diabetes, and joint issues (Al-Nimr et al, 2020). The participant indicated that the main topic to focus on is weight loss and nutrition. The first short-term goal was to improve nutritional knowledge and healthy eating habits. Information is critical in reducing weight loss. Therefore, the participants will be given nutrition information in the first week. The information will be obtained from nutritional books, dietary guidelines and healthy eating habits. Food portion determination is essential in weight loss. The patient will be taught how to portion their food. This will be facilitated using different food measuring tools. The client will be taught how to use the measuring tools in the teaching. Similarly, mindful eating skills will be taught to allow the participant to consume foods, stopping when satiated. Also, the participant will be taught how to balance calorie content and achieve the sustainable calorie deficit required to reduce body weight.

In the second week, the goal will be to learn how to diversify food choices to achieve a balanced diet. This goal helps the participant incorporate different foods into the diet. This includes fruits as a source of vitamins and minerals (Al-Nimr et al, 2020). Moreover, the participant will be taught to incorporate whole grains such as brown rice, whole wheat and quinoa in the diet as a source of fiber promoting fullness. Hydration is an important factor in weight loss (Al-Nimr et al, 2020). Therefore, the participant will be taught the role of hydration and strategies to implement to achieve the required hydration for weight loss and overall health.

In the third week (week 10), the goal will be to learn physical activities vital to weight loss. This includes activities such as aerobic exercise for at least 150 minutes per week. Besides, the participants will be informed on how to incorporate weight training exercises at least twice every week. The long-term goal is to achieve consistent and sustainable weight loss. The intervention will be a three-week duration. The activities will be divided based on the three goals. After three weeks, the patient will be evaluated on whether the expected outcome has been achieved. This is vital in informing the strategies that will be used in helping the patient achieve the desired weight.

In the teaching, the participants prefer the use of visuals. Therefore, visuals such as educational pamphlets will be incorporated into the weight loss and nutrition discussion in order for it to be implemented it back home. During the teaching intervention, the subject will be given a chance to answer questions and seek clarification on what is unclear to her.

Nutrition and weight loss are important topics globally. Therefore, information on this topic is found in many resources. In this intervention, diverse resources will be utilized. First, education pamphlets will be of importance. The education pamphlets are vital in teaching patients about effective eating plans. Besides, they are essential in describing the different foods and the micro and macro components (Freire, 2020). In addition, books and articles published in reputable health and nutrition will be useful. The patient will be recommended to read selected articles and books. Through this, the patient will have overview information on the topic of interest and reinforce what will be learned during the teaching intervention.

At the end of the intervention, the patient will be evaluated based on several outcomes; on the first goal, the patient will be evaluated on her ability to explain nutrition and the impact of nutrition to her health (Brauer et al., 2021). The patient should be able to explain how to determine food portions while cooking and serving. Also, she should give information on the best strategies to ensure that she consumes the required food portions.

On the second teaching intervention goal, the patient is expected to share information on best practices of ensuring that the meal she consumes with her family is balanced (Freire, 2020). This incorporates information about fruits, vegetables, proteins, carbohydrates and fiber. The food should consider vital micronutrients such as minerals and vitamins (Brauer et al., 2021). The patient will also be expected to have adhered to the prepared meal plan that is customized for her.

On the third goal, the expected outcome is that the patient will strictly adhere to the physical exercise routine. This includes aerobic exercises for at least 150 minutes weekly and muscle straining at least twice a week. The patient is expected to participate in physical activity consistently without supervision. The patient is expected to achieve the desired weight on the long-term goal. The patient's weight is expected to be in balance with the body mass index through shedding excessive weight.

Before the teaching intervention on nutrition and weight loss, the patient will be asked the following questions;

1. What do you think a healthy diet consists of?

2. Do you think exercise is important? Why or Why not?

3. How long do you think you should exercise for when trying to lose weight?

4. What is the importance of practicing mindfulness?

5. Do you believe stress is a contributing factor to unhealthy eating habits?

After the three weeks of teaching intervention, the patient will be asked the following questions

1. How has your dietary intake changed since you commenced the weight loss and nutrition intervention? Are there some foods that you have reduced or increased?

2. How would you describe your calorie before and after the intervention?

3. How would describe your mood, attitude, body endurance to exercise and energy levels since you started the weight loss and nutrition intervention?

4. Do you think you can make informed decision on the choice of food you incorporate in your daily meal?

5. Do you have anything to celebrate on your weight loss journey?