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Health Improvement Plan. By: Sarah Kalinoski. Client Overview. Gender: Female Age: 55 Education: High School, some college Profession: Integrations Specialist Family Situation: Not married, lives with 2 of her children
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Health Improvement Plan By: Sarah Kalinoski
Client Overview • Gender: Female • Age: 55 • Education: High School, some college • Profession: Integrations Specialist • Family Situation: Not married, lives with 2 of her children • Chief Complaints: Weight gain, tense, back and neck pain, chest pressure
Overview of Health History • Weight: 155 • Height: 5’4 • Adult Illnesses: N/A • Family Health History: Colon Cancer, diabetes, heart disease • Modes of Relaxing: Gardening, walking, watching television.
Research • Reducing stress in your life will help with chest pain, if not associated with heart, lung, or gastrointestinal problems (? Types of Chest Pain & Causes of Each. (0000, May 3). <i>WebMD</i>. Retrieved May 19, 2014, from http://www.webmd.com/pain-management/guide/whats-causing-my-chest-pain). • Back pain occurs most often between ages 30-50. As peoples age, bone strength and muscle elasticity and tone decrease (Low Back Pain Fact Sheet. (n.d.). : National Institute of Neurological Disorders and Stroke (NINDS). Retrieved May 19, 2014, from http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm). • Pain can occur when, for example, someone lifts something too heavy or overstretches, causing a sprain, strain, or spasm in one of the muscles or ligaments in the back. • Caffeine enters the bloodstream and can have a stimulating effect as soon as 15 minutes after consumed. Once in the body, caffeine will persist for several hours: it takes about 6 hours for one half of the caffeine to be eliminated. (Caffeine and Sleep. (n.d.). <i>Caffeine & Sleep Problems</i>. Retrieved May 19, 2014, from http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/).
Target Behavior • Increase healthy eating and exercise.
Theory (SCT) • Personal factors: Self- management skills, level of education. • Environmental factors: Family behavior • Other behaviors that support the unhealthy behavior, more likely to engage in unhealthy behavior. • Intervention to address whole system, not just the individual • When only the individual is addressed, less likely to change.
Smart Goal • Continue cutting out bad foods • Try a couple new fruits or vegetables each week. • Increase walking time. If client wants, she could set a personal goal for herself. Example: By week 8, I want to be able to walk 5 miles. • Client can try experimenting with different workouts, if walking gets boring for her. • Document food intake, make adjustments if necessary.
Intervention Highlights • Working with client to chose a health behavior to change • Thinking of a pseudonym to use. • Slowly improving client’s health
Results • Succeeded in increasing exercise time • Changing what she ate- cut out bad foods and had more of the healthy ones. • Over all, my client did a good job at listening to the recommendations I gave her and trying to add them to her lifestyle. • Even if she was off track one week, she did a good job trying to get back on track.
Personal / Professional Analysis • It’s not easy trying to help someone change. They depend on you a lot throughout the process. • It was fun to see my client make small changes with herself, and like the things I suggested. • Seeing her happy with any small result she got was very rewarding.
References • Caffeine and Sleep. (n.d.). <i>Caffeine & Sleep Problems</i>. Retrieved May 19, 2014, from http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/ • Low Back Pain Fact Sheet. (n.d.). : National Institute of Neurological Disorders and Stroke (NINDS). Retrieved May 19, 2014, from http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm • What Causes Chest Pain? Types of Chest Pain & Causes of Each. (0000, May 3). <i>WebMD</i>. Retrieved May 19, 2014, from http://www.webmd.com/pain-management/guide/whats-causing-my-chest-pain • Neck Pain and Shoulder Pain Symptoms and Causes. (n.d.). WebMD. Retrieved May 19, 2014, from http://www.webmd.com/pain-management/guide/neck-shoulder