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Health Improvement Plan

By: Ashton Boltz. Health Improvement Plan. Gender: Male Age: 48 Education: Masters degree Profession: Engineer Family Situation: Lives with second wife, with Son and two stepsons part time Chief complaints: S leep d eprivation, Eating foods that client is allergic to. Client Overview.

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Health Improvement Plan

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  1. By: Ashton Boltz Health Improvement Plan

  2. Gender: Male • Age: 48 • Education: Masters degree • Profession: Engineer • Family Situation: Lives with second wife, with Son and two stepsons part time • Chief complaints: Sleep deprivation, Eating foods that client is allergic to Client Overview

  3. Weight: 200 lb. • Height:6’4” ft. • Adult illnesses: None to date • Family Health History: Arthritis, Diabetes, Heart disease, Stroke, High blood pressure • Relaxation Methods: Reading, playing games, soda, T.V. Overview of Health History

  4. Sleep symptoms are associated with weight gain and cardio metabolic disease. The potential role of diet has been largely unexplored. Data from the 2007–2008 National Health and Nutrition Examination Survey (NHANES) were used (n =4552) to determine which nutrients were associated with sleep symptoms in a nationally representative sample. (Derk-Jan Dijk, Sleep and metabolism: you sleep what you eat?, Journal of Sleep Research, 2014, 23, 1) • This helps the patient better understand that if he were to eat foods unhealthy in large moderations that sleep then becomes difficult People who drink soda will have high blood pressure. This can increase the risk Of respiratory problems along with weight related problems, leading to sleep apnea(Le, M. T., Frye, R. F., Rivard, C. J., Cheng, J., McFann, K. K., Segal, M. S., 2012). Research

  5. Increase Sleeping times from Six hours to Eight hours Target Behavior

  6. High Perceived Susceptibility: Risk of sleep apnea because of family history of stroke and heart disease • Low perceived Severity: Not extremely overweight and has had problems in the past of lack of sleep because of late night studying from college and high school. • Perceived Barriers: Won’t be able to sleep as long, as work load slowly increases to an unbearable amount, and also being told to work from home for several more hours after the clients already 9 hour shift. • High Self-Efficacy: Getting married a second time and is happy with this marriage, has happy influences from friends and family. Theory (Health belief model)

  7. Changing his diet will help with weight loss and the prevention of sleep apnea • Increased Perceived Severity: slightly overweight but because of Family history client could become obese and suffer from heart attacks as well as become subject to Diabetes • Different ways to eat healthy or deal with work stress: Go for a Long walk or for a short jog to get more exercise, spend time trying to find foods that do not contain possible allergic reactions • Raise perceived Benefits: Increasing Exercise amount as well as trying to complete more work rather than get distracted at work. Theory (continued)

  8. 4 weeks Client will have increased average sleep time from 6 hours to 8 hours at night • Find moreways to relive stress and lose weight such as running or walking more as a stress reliever • Slowly get Client to sleep more by having him stay up doing only work and focusing on work rather than be distracted, and slowly make him do less work at night and more during the day and then more…(etc.) to slowly allow client to learn how to get more sllep • The pattern will continue of Working less at home and more at work each week • Will be using a calendar to track the progress SMART Goal

  9. Subject 1 Doing more work at work rather than taking home projects and unfinished work • Allowing for children to help around home environment more so that client can get enough sleep Intervention Highlights

  10. Client Succeeded in changing from having 6 hours of sleep to 8 hours of sleep every night • Changing Clients sleep habits and helped him to have an easier time to relax and Have less stress at home • Client did a fantastic job of sleeping for the amount of time that he had planned for and continued to improve sleep habits • For stress realiving, client would go and run for two miles, and then relax by playing a board game with his family Results

  11. Using a theory to guide an intervention was much easier said than done in covcinsome an old stubborn man to change his sleep habits and his way of living • Along with helping someone change their helth behavior I also learned that I have an easier time working with females than males • Using a health belief model to explain to the client his problem made this very easy • Using articles was the hardest part of the intervention Personal/ ProfessionalAnalysis

  12. Bahammam, A. S., Almushailhi, K., Pandi-Perumal, S. R. and Sharif, M. M. Intermittent fasting during Ramadan: does it affect sleep? J. Sleep Res., 2014, 23: 35–43. • Berentzen, N. E., Smit, H. A., Bekkers, M. B. et al. Time in bed, sleep quality and associations with cardiometabolic markers in children: the Prevention and Incidence of Asthma and Mite Allergy Birth Cohort Study. J. Sleep Res., 2014, 23: 3–12. • Sugiyama, M. G. and Agellon, L. B. Sex differences in lipid metabolism and metabolic disease risk. Biochem. Cell Biol., 2012, 90: 124–141 References

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