High Blood Pressure : A Single Mother Raising Two Teenage Boys Who Works Second Shift

1489 WordsApr 4, 20176 Pages
Gladys is a single mother raising two teenage boys who works second shift as an LPN and has been referred to this department for evaluation by her employer and her physician. While reviewing the patient case, I became aware of multiple chronic disease risk factors that are exhibited including hypertension, overweight status, poor nutritional status, low activity level, and high stress level. These risk factors have been linked to multiple chronic illnesses including diabetes mellitus, Coronary heart disease, stroke, obesity, and cancer (Battle, 2009). Cardiovascular disease is the leading cause of death in America and in the world and while Gladys has not been diagnosed with Coronary heart disease, she does have high blood pressure…show more content…
To do this, I recommend that Gladys focus on consuming a variety of nutrient-rich foods while limiting saturated and trans fats, cholesterol, added sugars, salt, and alcohol; balance energy intake and expenditure, refer to the USDA Food Guide known as MyPyramid for guidance, and possibly make small decreases over time in calorie intake and small increases over time in physical activity. These recommendations been proven to be effective at lowering body weight and blood pressure (Schlenker & Roth, 2011). To facilitate these health behavior changes, we should refer to a few different health behavior theories. The Transtheoretical Model states that behavior change is a process that occurs in stages where the individual moves from the first stage, pre-contemplation to contemplation, preparation, action, and finally maintenance (Hayden, 2014). Gladys is currently in the pre-contemplation stage and will hopefully move into the contemplation stage upon the next meeting. Before this can occur, we must refer to the Health Belief Model. The Health Belief Model is another health behavior theory. It states that health behavior is determined by the individual’s beliefs and perceptions about a disease and the strategies that decrease its occurrence (Hayden, 2014). Some of the factors that contribute to the individual’s perception are knowledge, attitude, belief,

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