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Health Improvement Plan. Chris Carpio. Client Overview. Name: Anita Knapp Date of Birth: 12-19-1974 Highest Grade Completed: Master’s Degree Marital Status: Married 17 years Primary Language Spoken: English Sex: Female. Overview of health history. Weight: 110 lbs. Height: 5’1 ft.
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Health Improvement Plan Chris Carpio
Client Overview • Name: Anita Knapp • Date of Birth: 12-19-1974 • Highest Grade Completed: Master’s Degree • Marital Status: Married 17 years • Primary Language Spoken: English • Sex: Female
Overview of health history • Weight: 110 lbs. • Height: 5’1 ft. • Adult illnesses: hypothyroidism (12 years ago) • Family health history: diabetes, hypertension • Modes of relaxation: reading, walking, watching television
Target Behavior • Reduce sleep deprivation • Get more sleep
Smart goal • By 4 weeks, the patient will be getting more hours of sleep and feeling less grumpy in the morning. • Find better alternatives to sleeping pills, such as the sound ocean waves or a cup of tea. • Improving her sleeping schedule and maintain a healthy lifestyle
Theory (Hbm) • Perceived Susceptibility: more prone to accidents, lower cognitive abilities, less focused • Perceived Severity: does not believe that the effects of sleep deprivation will happen • Perceived Barriers: wont be able to sleep without watching t.v. • Self-Efficacy: now getting a full night’s rest and feeling better throughout the day
Research • Sleep deprivation decreases the pain threshold. (Onen, S.H., Alloui, A., Gross, A., Eschallier, A., Dubray, C., 2001) • More sleep will overall increase the quality of the day. • Sleep deprivation is one of the leading causes of accidents. (Leger, D., Bayon, V., Ohayon, M. M., Philip, P., Ement, P., Metlaine, A., Chennaouim, M., Faraut, B. 2014) • More sleep increases the awareness of the surroundings. • Artificial light hinders the ability to sleep. (Dijk, D.J. 2013) • By turning of all sources of light, sleep can be easier to achieve. • Poor sleep quality impairs cognitive performance. (Miyata, S., Noda, A., Iwamoto., Kawano, N., Okuda, M., Ozaki, N. 2013) • Better sleep will enhance the capabilities of the mind.
Action plan • For the next 4 weeks, every day she will sleep 15 minutes earlier than the night before. • Starting at 12pm, by the end of 4 weeks, she will be sleeping by 8:30pm. • Her biological clock will adjust and get used to the better sleeping schedule.
Results • By the end of week 2, the patient’s mood has drastically changed. Changing from being extremely grumpy in the morning to becoming a morning lover. • By week 4 her entire sleeping schedule has improved. • She is getting more than 8 hours of sleep.
Personal analysis • I have learned that dedication is the most important value when trying to achieve a goal. • I have learned that it’s had for people to change, even when they really want to. • The charting process is very time consuming and is very labor intensive.
References • Onen, S. H. , Alloui, A. , Gross, A. , Eschallier, A. and Dubray, C. (2001), The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. Journal of Sleep Research, 10: 35–42. doi: 10.1046/j.1365-2869.2001.00240.x • Léger, D., Bayon, V., Ohayon, M. M., Philip, P., Ement, P., Metlaine, A., Chennaoui, M. and Faraut, B. (2014), Insomnia and accidents: cross-sectional study (EQUINOX) on sleep-related home, work and car accidents in 5293 subjects with insomnia from 10 countries. Journal of Sleep Research, 23: 143–152. doi: 10.1111/jsr.12104 • Dijk, D.-J. (2013), Why do we sleep so late?. Journal of Sleep Research, 22: 605–606. doi: 10.1111/jsr.12111 • Miyata, S., Noda, A., Iwamoto, K., Kawano, N., Okuda, M. and Ozaki, N. (2013), Poor sleep quality impairs cognitive performance in older adults. Journal of Sleep Research, 22: 535–541. doi: 10.1111/jsr.12054