Self-Management Plan The goal Charlie would like to accomplish is increasing his energy level to lasting most of the day; more specifically he would like to gain the endurance to be able to do physical work in two hour increments in the morning and in the afternoon. He knows that maintaining his blood glucose is a key part of this plan while slowly increasing his activity throughout the day. He is in the Action and Contemplation phases of Prochaska and Di Clemente’s Transtheoretical Model because he is acting on the diet part of the plan currently and is thinking, or contemplating about the increasing his activity level (Norcross & Prochaska, 2002). Charlie’s plan consisted of small meals every 2-3 hours and monitoring blood glucose levels after activity periods. His activities started within and near the home where he has access to a chair if he felt light-headed as his blood glucose drops. He determined 2 hours of light cleaning, preparing meals and doing minor repairs during the first weeks and then rest for an hour or more based on how he felt; later he ate and then at times would accomplish another one hour of walking or other activity. Charlie felt sure he could manage this level of activity and rated his confidence at 75% or 7.5/10. He planned to talk weekly about how each day went, including how frequently he ate, how much activity he accomplished, and how well he tolerated it. The only alternative ways for him to accomplish this goal appear to include surgical
11. The fact that a patient has experienced recent weight loss, fatigue, and loss of appetite would be included in which part of the review of systems (ROS)?
Throughout this paper you will find that it is going to be discussing many things. Some of those things are to describe a current health problem or nutritional need that I may be experiencing, four nutritional or physical exercise goals, the actions taken to meet each goal, the anticipated setbacks or difficulties and the approaches to overcome them, the outcomes by which to measure success, evidence of the plans effectiveness by addressing the identified problem or need, and the evaluation of potential health risks that may develop if the plan is not implemented. So basically this paper is going to be about a realistic nutrition and exercise plan that best suits me.
After implementing these strategies, the patient’s weight will be measured and recorded weekly to track the progress (Ramont, Niedringhaus, & Towle, 2012). The level of food intake will also be measured considered plus random questions to determine the memory of the patient. However food intake will be at top of the list, this is because most of the issues surrounding the patient usually have a direct effect on the food intake of the patient. The other technique will be through observation where I will observe whether her joints are healing and whether the inflammation is reducing. Moreover, lack of depression will be determined by how happy she is which is also noticeable through observation (Daly, 2012).
The Transtheoretical Model of Change has become popular over the past few decades in explaining health behaviors like substance and alcohol abuse, dieting, and smoking cessation. It has four parts to it, the first being the stages of change. The Stages of Change Model gives explanations for different points on the path to intentional behavioral change (Vilela, Jungerman, Laranjeira, & Callaghan, 2009). Intentional behavioral changes are changes in the habitual patterns of behavior that are related to issues such as substance or alcohol abuse. There are six steps in the Stages of Change Model: precontemplation, contemplation, preparation, action, maintenance, and
They want to make sure that patients have access to staff members who will help them with their expertise. This is especially helpful to patients with more extreme medical needs that require special attention. In 2010, patients were provided access to group and individual sessions with MOVE!. Between the two, group-based sessions were most popular and made up about 72% of attendance. Another component that helps patients reach their goal weight faster, is the intensity of the program they participate in. Patients who only attend one to two sessions have a lower chance of obtaining their goal weight, but those that consistently are active in the program get better results. From the patients who participated in the MOVE! program, only 13.6% of them met the intensity component. Some stable techniques used in between 2008 and 2010 include methods to deal with relapse prevention, monitoring health, creating explicit goals such as losing this amount of weight by this time, and social support. These methods have been consistently used for those years and showed signs of help and improvement.
Extreme dieting may produce results, but they are often not lasting results. In order to achieve healthy goals, Maxfield suggest there must be a change in our daily habits. She argues that food is not inherently good or evil, but our lifestyle could be. Instead of cutting out foods that have been deemed by society as “unhealthy,” humans need to learn to trust their bodies to meet their needs (Maxfield). Goals to meet these expectations should be monitored by healthcare professionals(HCP). HCP can make an impact on their patients by “offering simple and concrete advice (start a realistic exercise program, eat at home ... not just "lose weight"), and emphasizing that even small changes can lead to big health gains” (Gaines). By making goals, setting plans and following up with their patients, HCP can contribute significantly in curing
The five day dietary assessment gave us a chance to see what the patient was consuming and how often. Five to six days a week the patient had fruits, juices, eggs, meat, fish, poultry, and vegetables other than starches during a meal time. Just as often she was having, milk, yogurt, potatoes, rice, other starches, cheese, and soda with sugar with both meals and snacks. In between meals she was enjoying cookies, cake, pies, and pastries at least three times a week, and sugar free gum every day. A few times a month the patient would have Coffee or tea with added sugar or flavorings, sports or energy drinks, and candy during both meals and snacks. Three things that she never consumes are cereals, diet soda, and gum with sugar. C.S. states she
This model represents a gradual process toward behavior change by which the individual enters through various stages toward behavior stage (National Cancer Institute, 2005). For example a person who is overweight may not be interested at all in changing their dietary habits, therefore the strategy would be to increase this person’s awareness of the risks for not doing so, and the benefits of doing so. As the person contemplates making a change, they may say that they will change their diet in the next 6 months or so. This is where a motivational strategy may be put into plan (National Cancer Institute,
The next intervention I implemented with this patient was addressing a lifestyle adjustment, as the child is overweight and appears overwhelmed with his studies. I encouraged the patient to eat a healthy diet with written guidelines and stressed the importance of implementing a daily exercise routine into his life.
Sam’s doesn’t enjoy sport much either. His weekly physical activity involves walking to and from the school bus stop (5 minutes each way) and playing with the family dog in the yard. Sam’s mother is very concerned with his lack of physical activity and high interest in sedentary activities. She took him to the local doctor where his height and weight were measured to identify his Body Mass Index (BMI). It was identified that Sam’s
Our experiment was performed in the Science and Technology build on the USCB Bluffton Campus on October 6th from 4:30 to 5:30 p.m. In order to construct the study for this experiment, we divided the actual experiment work in order to be able to complete the study for all sixteen (16) subjects within the given time period available to accommodate the test subjects. The experiments was conducted in the hallway, during the process we tested three participants at a time. We constructed an informational form regarding gender, age, weight amount of exercise per week. The supplies needed were approximately 25 test participants for the class, informational form, a blood pressure reader, timer, 15 jumping jacks, three chairs, paper and pencil to record
Objective: Vital signs Temputure-97.2, Pulse-77, resperatin-22, Blood Pressure 165/81, Oxygen Saturation on room air is 91%, Weight-156lbs, and Height 5fl 8in.
The Transtheoretical Model is a theory of health behavior that suggests that behavior change is a process, not an event. There are five stages of change someone can go through while attempting to engage in positive behavior: precontemplation, no intention to act within six months; contemplation, intention to act within six months; preparation, intention to act within the next thirty days along with some behavioral steps; action, changed behavior for less than six months, maintenance, changed behavior for more than six months; termination, end of the behavior. These stages are not linear, so an individual can move up and down the stages of change indiscriminately.
The subjects refrained from caffeine, standardized diet, and standardized training for 48 hrs before the trials. For 24 hours before the trials, each subject was given a prepackaged standard diet. Exercise and food diaries were kept and checked for compliance.
At the outset of treatment, the patient and health care provider should discuss and agree upon goals. The goals must take into account the food habits, exercise behaviors, psychological outlook and support systems of the individual. Realistic expectations, short- and long-term, may be promoted by a discussion of a healthy weight versus an ideal body weight. Features of weight management