Patient Behavioral Interventions: A Case Study

In viewing Mr. Laurane’s personal health issues as well as his family history, it appears clear that his overall well-being could benefit significantly from a weight-loss regimen that includes health education in terms of nutrition, exercise initiatives, supplements that may be taken to encourage the speeding up of a slow metabolism, etc. Mr. Laurane can only benefit from weight loss, which will reduce his hypertension, congestive heart failure, and high cholesterol, all of which pose serious threats to the patient’s long-term health if not addressed in any way possible.

Elaine is a Board Certified Behaviour Analyst (BCBA) working in a geographically isolated area running Intensive Behavioural Intervention programs as a private business. Her clientele is mainly young children under the age of 10-years old with Autism Spectrum Disorder and Intellectual Developmental Disabilities.

Encourage the patient to adopt a healthy lifestyle of low-fat food choices, increased exercise, decreased alcohol consumption, and smoking cessation.

According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid

This link describes the importance of clinicians to provide culturally and sensitive services to diverse populations

At the present time, the patient has two of the risk factors for heart disease, genetic predisposition, and obesity. The first risk factor, genetic disposition, is non-modifiable, however, the second, obesity, is a modifiable risk factor. The nursing diagnosis that can be applied in this situation is imbalanced nutrition: more that body requirements, evidenced by weight is more than 20% over ideal for height and frame, triceps skinfold >25mm in women and, sedentary lifestyle. The desired outcome for this individual is to demonstrate a change in eating patterns to attain desirable body weight with optimal maintenance of health, as well as to initiate and maintain an individually appropriate exercise program. Nursing interventions for this client should be (1) determine client’s desire to lose weight, (2) review usual daily caloric intake and dietary choices, (3) establish a realistic weight-reduction plan with the client, (4) encourage client to maintain a food diary that includes when and where eating takes place and the circumstances and feelings around which the food was eaten, and (5) refer to dietitian or weight management program (Doenges, Moorhouse, & Murr,

Designed for students diagnosed with emotional and behavioral disabilities (EBD) there are a numerous amount of intervention strategies and methods that can be used to implement and help students build their self-management skills. These intervention strategies are used with the intention of students ultimately learning how to control their behaviors in and out of school. Consequently, self-sufficient intervention approaches are a supported and efficient method of delivering pertinent and significant supports to students with EBD. Advocates of cognitive behavioral intervention (CBI) substantiate the communal correlation amid views and behaviors as a central credence of their method. Students

Raver and Knitize state (as cited by Bayat, Mindes, & Covitt, 2010) that “some estimates suggest 10% of preschoolers exhibit noticeable problem behaviors, with 4-6% of this population exhibiting serious behavior difficulties. Preschool children are expelled at a rate that three times more than students in grades K-12 (Bayat et al., 2010). Gilliam reported (as cited in Bayat et al., 2010) that the lowest rate of expulsion was associated with when there are behavioral interventions in the classroom. Progress monitoring and interventions are not only for academic struggles. It can be used to help with behavior issues and struggles in the early childhood classroom. Intervention teams have intervention opinions to use such as Positive Behavioral Interventions and Supports (PBIS) and function-based interventions.

As defined by the World Health Organization, obesity is “an abnormal or excessive fat accumulation that may impair health. a BMI greater than or equal to 25 is overweight and a BMI greater than or equal to 30 is obesity”. Being obese or overweight is especially common in the US and is increasing nationally and globally. As per The Online Journal of Issues in Nursing (OJIN), recent studies show over 67% with BMI greater than 25 and Americans between the ages 26 - 75 are 10% to 40% morbidly obese with BMI greater than 30. Excess weight greater than the ideal body weight is a danger to one’s health. Obesity is one of the major risk factors for many diseases such as, Metabolic syndrome, osteoarthritis, cardiovascular diseases, respiratory compromise, intra-abdominal pressures, skin conditions and mental illness and last but not least, some cancers. As a nurse, anticipating obesity-related issues will only increase and nursing care plans will have to adjust as this epidemic continues. This epidemic can and will affect the goal of Interdisciplinary Team Health Care members in providing Holistic Care in an individual who is obese.

Inclusion criteria were blood sugar concentrations between 7.1% and 11.0% (54 mmol/mol to 97mmol/mol); a body-mass index of ≤45 kg/m2; and a stable body weight for ≥3 months. By the conclusion of the study, 400 patients assigned to exenatide and 391 patients assigned to liraglutide reached the 26-week mark. In both groups, 13% of patients dropped out due to gastrointestinal effects, loss of blood glucose control, protocol violation, or a decision to leave the study early made by either the patient or physician. An open-label design was adopted because a proper placebo was not available for

I listen to patients and I address the issues that are most important to them. As the clinical director for the OAS community clinics at Ross University, I worked diligently with our faculty advisors to provide free clinical evaluations to the local Dominican community. We offered screening examinations for hypertension, diabetes and obesity. It was my responsibility to train the volunteers, set up the clinic, and to ensure that the clinic ran smoothly for both students and patients. The gratification that I got from promoting healthy living and disease prevention when participating in community clinics played a huge factor in motivating me to start a weekly weight management clinic with my mentor. This opportunity will allow me to continue to practice my clinical skills as I provide evaluations, education, treatment and consultation services to

In the case study about Mrs Senna who is 34 years old women, I have noticed that she has various medical issues, such as being diagnosed with obesity and diabetes type2, She has been admitted to hospital by the paramedics from emergency services due to heart attack at home. Mrs Senna has been advised by her doctor that she has developed high blood pressure and is one the risk factor of obesity. Mrs senna has been advised that she will be given various treatment such as Gastric Bypass surgery and will be provided with remedial care. Mrs Senna was

A specific behavioral objective will be to decrease her serving size at meals and eat only 100 calories each for a morning and afternoon snack. Because the patient has not attended any formal education classes since her diagnosis, it would be beneficial for J.M. to be referred to a nutritionist in order to reinforce the information that she has as well as enlighten her on proper portion size and healthy snacks (AACE, 2011). If she is not able to go to a nutritionist due to cost or the inability to get time off work, there are many calorie counting resources such as www.livestrong.com/myplate/ or smartphone applications that can be utilized at her convenience (Budd & Peterson, 2015).

While the primary care providers will be the front line for providing the suggested counseling interventions, the emergency and urgent care facilities within the county an also reach out to at risk patients when they provide care to them. Given that many patients do not have a PCP and rather seek care at these other types of facilities, these partners too can intervene and become part of the initiative to reduce obesity through the

4. How important is the health care provider for the weight-loss product decision? What proposed advertising concept to health care providers would you implement?