Client/Health Improvement Plan

A & P/HS1 Semester Project

Gender: Male Age: 48 Years Old Education: Bachelor’s in Electronic Technology Profession: Works at ASML Family Situation: Lives with Wife and Kids Chief Complaints: Trying to lose weight

Michael Mouse

Weight: 250 lbs. Height: 5’ 8” Adult Illnesses: Sciatic nerves going down

right leg. Hip pain. Family Health History: Aneurism, Gout,

Diabetes, Heart Disease, and High Blood Pressure.

Modes of Relaxation: Watching TV and Exercise

Overview of Relevant Info from Health History

Overweight and obesity affects more than 66% of the adult

population and is associated with a variety of chronic diseases. Weight Reduction reduces health risks associated with chronic diseases and is therefore encouraged by major health agencies. (Donnelly JE, Blair SN, Jakicic JM)

The medical effects of modest weight reduction (approximately 10% or less) in patients with obesity-associated medical complications were reviewed. (Glodstein DJ)

Diets higher in fruits and vegetables and lower in meats (except fish) may reduce the risk of developing high BP. (Katsuyuki, Miura)

Long term risk of CVD and diabetes increased significantly with increasing overweight and obesity. Weight loss was associated with significant reduction in risk of diabetes but not CVD, except possibly in considerably overweight younger men. (Wannamethee, S Goya)

Research

More Exercise

Target Behavior

High Perceived Susceptibility: Higher risk of

diabetes and high blood pressure because of family history.

Low Perceived Severity: He does eat a well balanced diet and takes an occasional walk and goes to gym once a week. Doesn’t feel like he can’t get any health related illnesses in his past.

Perceived Barriers: He has a tough work schedule to work around to even try to work out more during the week.

High Self-Efficacy: Supported by family and he recently got his own personal trainer.

Theory (HBM)

Find time to work out more will help him

try to lose weight and help him learn to work around his schedule.

Take a daily walk will help him get at least some form of exercise everyday.

Try to lower sodium intake because of his family’s history with heart problems.

Theory-Intervention

Client 1 has 4 weeks to try to loss weight and

gain muscle. Tell client about the risks of being overweight. Get the client to check his weight everyday. Offer him to try to at least walk everyday if he

is unable to go to the gym because of his work schedule.

Smart Goal

Client Lost a total of 3 lbs during the 4 weeks! Had a set back one week because of his back,

but came back strong the next week and lost 2 lbs!

Client was able to work out more around his schedule and was able to loss weight!

Intervention Highlights

Client was able to lose at least 3 lbs during his

4 week session. He was able to find one or two more days that

work around his schedule during the week. Overall the client did do a nice job of noticing

his goals and trying to achieve it. Though I felt like he could of found more time

to go to the gym or walk.

Results

Work outs

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Week 1

x x

Week 2

Week 3

x x

Week 4

x x

Results (Cont.)

When dealing with the Health Belief Model was

successfully able to make him recognize his problem and try to fix it.

I feel successful with the project overall because I know this is making him want to work out more in the future, so he can lose some weight in the next couple of months.

It was easy for him to see the research and understand the sacrifices of being overweight.

I wish that he could of worked out more during the 4 weeks.

Personal/Professional Analysis

Miura, K., Greenland, P., Stramler, J., Liu, K., Daviglus, M., & Nakagawa, H. (2003,

October 24). Relation of Vegetable, Fruit, and Meat Intake to 7-Year Blood Pressure Change in Middle-aged Men. . Retrieved May 13, 2014, from

http://aje.oxfordjournals.org/content/159/6/572.short  

Goldstein, D. (n.d.). Beneficial health effects of modest weight loss. . . Retrieved , from http://europepmc.org/abstract/MED/1322866/reload=0;jsessionid=8153CPzxIKqzH8i7yrDn.24

 

Donnelly, J., Blair, S., Manore, M., Rankin, J., & Smith, B. (n.d.). American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies

for weight loss and prevention of weight regain for adults. . American College of Sports Medicine Position Stand. Appropriate physical activity intervention.... Retrieved

May 13, 2014, from http://europepmc.org/abstract/MED/19127177  

Wannamethee, G., Shaper, G., & Walker, M. (n.d.). Overweight and obesity and weight change in middle aged men: impact on cardiovascular disease and diabetes. .

Retrieved May 13, 2014, from http://jech.bmj.com/content/59/2/134.short

Work Citation