HS1semester project Client A

1. HS1semester project Client A By: Catalina Garcia

2. Client A • Gender: Female • Age: 36 years • Education: High School • Family situation: Married with children • Chief complaints: Lack of sleep and allergy symptoms • Language: Spanish

3. Health History • Childhood illness: Chicken pox (5 years old) • Adults illness: loss of sleep (periodically), stress (periodically) • Allergies: Pollen (last six years) • Family health history: Pancreases Cancer, breast cancer, hypertension

4. Research • Sleep loss can lead to serious health issues like heart attacks, dumbs a person down, energy loss, gaining weight, aging, depression and impairs judgment • Insomnia has many types periodically, chronic. Chronic can only be treated and periodically (acute) can go away. • Cause to acute insomnia include the environment, allergies and personal factors • Reducing environmental factors, taking medicine for allergies help improve sleep. Going to bed when sleepy, family support with home duties.

5. Target Behavior • Improving amount of sleep the client receives per night • Average sleep per night: 5 hours

6. Theory • Theory: Social Cognitive Theory • The environment around a person and personal behavior create a system. If the system is positive the person will most likely change behavior, If the system is negative then its harder to change. • If the personal or environmental factor change then it brings every thing down creating a domino effect.

7. Theory • Environmental Factors: Home duties, younger child and electronics • Personal Factors: Can not fall asleep, does not go to bed when sleepy • Helps to fall asleep: preparing for bed, disconnecting from the environment

8. Smart Goal • I will sleep more by going to bed earlier and improve number of hours I sleep during these four weeks by discounting from my environment. • Eating healthier will help improve sleep and early before going to bed.

9. Intervention • Client will eliminating some environmental factors by turning of TV and closing window at night to avoid waking up. • Clientwill allow help from family with duties and start the earlier to avoid staying up late • Client will eliminate personal factors by going to sleep when sleepy • Client will remember hours most and least hours slept in the week

10. Results • Increased the number of sleep in week two and three. • In week four slept less, allergies affected amount of sleep. • Allergies started in mid week three.

11. Graphs

12. Analysis • In the process of the behavior intervention the allergies of the client affected the results noticeably in the last week as the allergies intensified • The hardest thing during the process was the client forgetting the hours slept in the past week • Translating the questions for the client was time consumingbecause some words required finding the medical translation to Spanish and explanation.

13. Web Citation • The British Journal of Psychiatry. (2007, June 27). <i>Management of insomnia: treatments and mechanisms</i>. Retrieved May 15, 2014, from http://bjp.rcpsych.org/content/191/3/195.full • Insomnia (Chronic and Acute Insomnia) Causes and Symptoms. (2014, April 2). <i>WebMD</i>. Retrieved May 19, 2014, from http://www.webmd.com/sleep- disorders/guide/insomnia-symptoms-and-causes • Feature, C. (2014, February 13).10 Surprising Effects of Lack of Sleep. <i>WebMD</i>. Retrieved May 29, 2014, fromhttp:// www. webmd.com/sleep-disorders/excessive-sleepiness-10/10-results-sleep-loss • Epstein, L. (2013). Improving Sleep: A guide to a good night's rest. Retrieved May 29, 2014, fromhttp://www.health.harvard.edu- /special-health-reports/ improving-sleep-a-guide-to-a-good-nights-rest