D121 Creating a Patient Centered Health Promotion Plan Paper Example
D121 GJM1 TASK 1: Creating a Patient-Centered Health Promotion Plan Paper Example
D121 Health Promotion of Patients and Populations Across the Lifespan Course
GJM1 TASK 1: Creation of a health promotion soap note
D121 GJM1 TASK 1: Creating a Patient Centered Health Promotion Plan Paper Assignment Brief
Assignment Instructions Overview
This assignment focuses on developing a comprehensive patient-centered health promotion plan. Students will analyze health-related behaviors, identify areas for improvement, and create a structured plan to support patient-driven health goals. The plan will integrate theoretical frameworks, including the Social Ecological Model and the Readiness to Change Theory, to ensure a holistic approach to health promotion.
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Understanding Assignment Objectives
The primary objective of this task is to evaluate a patient’s health profile and propose targeted health promotion interventions. Students will:
- Identify key areas of health promotion tailored to the patient and their family.
- Utilize motivational interviewing techniques to establish patient-driven priorities.
- Assess potential facilitators and barriers to change in implementing health interventions.
- Apply evidence-based theoretical models to support behavior change.
- Develop a SMART-goal-driven plan for health improvement.
- Document findings in a structured SOAP note format.
- Create a follow-up plan to assess progress and adjust interventions as needed.
The Student’s Role
As a nurse practitioner working in a nurse-led primary care clinic, the student is responsible for:
- Conducting a comprehensive patient assessment.
- Identifying modifiable risk factors and areas for health promotion.
- Employing motivational interviewing techniques to encourage patient engagement.
- Utilizing evidence-based theories to guide intervention strategies.
- Creating a structured health promotion plan that includes clear goals and follow-up actions.
- Documenting findings using SOAP note methodology.
Competencies Measured
This assignment assesses the student’s ability to:
- Utilize clinical judgment to develop personalized health interventions.
- Apply patient- and family-centered approaches to health promotion.
- Integrate theoretical models into clinical practice.
- Develop SMART goals to enhance health outcomes.
- Demonstrate professional documentation and communication skills.
- Analyze patient progress and adapt interventions based on real-time feedback.
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D121 GJM1 TASK 1: Creating a Patient Centered Health Promotion Plan for Alfredo Paper Example
Patient-Centered Health Promotion Plan for Alfredo Garcia
- Analysis of Potential Health Promotion Activities
A1. Six Patient- and Family-Centered Areas of Potential Health Promotion
Smoking Cessation – Alfredo smokes half a pack of cigarettes daily, which increases his risk of respiratory and cardiovascular diseases. Encouraging smoking cessation would significantly improve his health and reduce the risk of chronic illnesses.
Nutritional Improvements – Alfredo consumes fast food for breakfast and lunch five times per week, which may contribute to his obesity and increased risk of diabetes and cardiovascular disease. Encouraging a balanced diet with more fruits and vegetables is essential.
Increased Physical Activity – Alfredo does not exercise regularly, which contributes to his obesity and overall health risks. Implementing a structured exercise routine can aid in weight management and reduce health risks.
Alcohol Intake Reduction – Alfredo drinks four alcoholic beverages per meal three times per week, which can contribute to liver disease, high blood pressure, and other health issues. Reducing alcohol intake would be a key health promotion focus.
Routine Health Screenings – Alfredo has a family history of colon cancer but has never had a colonoscopy. Encouraging routine screenings, such as colonoscopies and diabetes testing, is critical for early detection and prevention of chronic diseases.
Preventative Healthcare and Vaccinations – Alfredo has not received vaccinations in over ten years. Updating his vaccinations, including flu, tetanus, and COVID-19 vaccines, can help prevent infectious diseases and improve overall health.
A2. Motivational Interviewing to Elicit Patient-Driven Health Promotion Priorities
Motivational interviewing (MI) is an evidence-based approach that enhances patient motivation for behavioral change by engaging in a collaborative conversation. It involves four key processes: engaging, focusing, evoking, and planning (Miller & Rollnick, 2013). MI helps Alfredo identify his health priorities and empowers him to make gradual, sustainable changes. By using open-ended questions, affirmations, reflective listening, and summarization, the provider can explore Alfredo’s concerns and readiness for change. For example, instead of imposing changes, the provider could ask, “What concerns you the most about your current health habits?” This method enhances autonomy and encourages Alfredo to set achievable health goals.
A3. Potential Allies and Barriers to Change for Alfredo and His Family
Potential Allies:
Spouse’s Support – Alfredo’s wife can play a crucial role in encouraging lifestyle changes, such as healthier meal preparation and smoking cessation.
Children’s Influence – Alfredo’s children can participate in physical activities with him, promoting a family-oriented approach to exercise.
Workplace Resources – As a construction foreman, his workplace may provide wellness programs or incentives for healthy behaviors.
Healthcare Providers – Establishing a relationship with a primary care provider can offer continuous support and education on managing his health conditions.
Community Support Groups – Engaging with smoking cessation and weight management groups may provide encouragement and accountability.
Potential Barriers:
Cultural Dietary Preferences – Traditional dietary habits may make it challenging to adopt healthier eating patterns.
Financial Constraints – The cost of healthy food, gym memberships, and medical screenings may pose financial burdens.
Time Constraints – Alfredo’s work schedule may limit his ability to prioritize exercise and medical appointments.
Lack of Health Awareness – Without a primary care provider, Alfredo may lack knowledge about the importance of screenings and preventive care.
Substance Use Habits – Regular alcohol consumption and smoking may be difficult habits to break without structured interventions.
A4. Incorporating the Social Ecological Model and Readiness to Change Theory
The Social Ecological Model (SEM) emphasizes multiple levels of influence on health behaviors, including individual, interpersonal, organizational, community, and policy factors (McLeroy et al., 1988). For Alfredo, individual-level interventions involve personalized education, while interpersonal strategies focus on family engagement. Organizational and community resources, such as workplace wellness programs and local fitness centers, can further support his health goals.
The Readiness to Change Theory, also known as the Transtheoretical Model, identifies five stages: precontemplation, contemplation, preparation, action, and maintenance (Prochaska & DiClemente, 1983). Alfredo may be in the contemplation stage for some behaviors (e.g., recognizing the need for exercise) but in precontemplation for others (e.g., alcohol reduction). Tailoring interventions to his readiness level enhances their effectiveness.
A5. Steps to Support Alfredo in Developing a Patient- and Family-Centered Health Promotion Plan
Establish a Trusting Relationship – Build rapport through open communication and active listening.
Assess Readiness for Change – Use motivational interviewing to determine Alfredo’s willingness to modify behaviors.
Identify Priorities – Focus on areas Alfredo is most motivated to change.
Engage Family Members – Encourage family participation in health-related activities.
Provide Education and Resources – Offer culturally sensitive guidance on healthy habits and available community resources.
Set Realistic Goals – Develop incremental and attainable health objectives.
Monitor Progress – Schedule follow-up visits to evaluate and adjust the plan as needed.
A6. Steps to Assist Alfredo in Creating SMART Goals
Specific – Define clear and focused objectives (e.g., “Reduce cigarette consumption to one per day”).
Measurable – Establish quantifiable benchmarks (e.g., “Walk for 30 minutes, three times per week”).
Achievable – Ensure goals are realistic given Alfredo’s lifestyle and resources.
Relevant – Align goals with Alfredo’s personal health concerns and motivations.
Timely – Set deadlines to track progress (e.g., “Schedule a colonoscopy within three months”).
A7. Sample SOAP Note
Subjective:
Chief Complaint: Work physical; no current health complaints.
History: Smokes daily, drinks alcohol regularly, poor diet, no exercise.
Family History: Diabetes, hypertension, and colon cancer.
ROS: Reports increased thirst and urination.
Objective:
Vitals: BP 155/92, BMI 37.2 kg/m².
PE: No acute distress; abdomen non-tender; lungs clear.
Assessment:
Hypertension (I10)
Obesity (E66.9)
Tobacco Use Disorder (F17.200)
Alcohol Use (F10.10)
Plan:
Smoking Cessation: Provide nicotine replacement options and refer to a support program.
Dietary Changes: Recommend a nutritionist consult.
Exercise Plan: Encourage 30 minutes of physical activity thrice weekly.
Screenings: Schedule colonoscopy and diabetes testing.
Follow-Up: Reassess in three months.
- Written Follow-Up Plan
B1. Allies and Barriers to Change – As previously discussed in A3.
B2. Involving Family in Health Promotion – Family participation can facilitate accountability and emotional support, improving adherence to health recommendations.
B3. Modifying the Health Promotion Plan – Adjust interventions based on progress, challenges, and Alfredo’s feedback.
- Analyzing Progress
C1. Determining Patient-Centered Measures of Progress – Use biometric markers (e.g., BP, weight) and patient-reported lifestyle changes.
C2. Measuring Progress – Track adherence through follow-up visits and self-reported logs.
C3. Recognizing Patient-Directed Progress – Celebrate incremental achievements to maintain motivation.
- References
Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change.
McLeroy, K. R., et al. (1988). The Social Ecological Model of Health.
Prochaska, J. O., & DiClemente, C. C. (1983). Stages of Change Model.
Detailed Assessment Instructions for the D121 GJM1 TASK 1: Creating a Patient Centered Health Promotion Plan Paper Assignment
Description
SCENARIO
You are a nurse practitioner practicing in a nurse-led primary care clinic in a rural community. You are providing care for Alfredo Garcia, a 50-year-old Hispanic male who comes to the clinic for a work physical. Alfredo does not have a regular primary care provider and has no health complaints today.
PMH: Alfredo’s past medical history includes a fractured right ankle that occurred when he was 28 years old. He has no previous surgical history or history of hospitalization.
FH: Alfredo’s father, paternal grandfather, and maternal grandmother all have diabetes. His paternal grandmother has osteoporosis and hypertension. His maternal grandfather died at 67 from colon cancer. Alfredo’s three siblings and his two children are alive and with no serious medical history.
SH: Alfredo smokes half a pack of filtered cigarettes per day, drinks two energy drinks per day, and drinks four alcoholic drinks per meal three times per week. He does not exercise regularly and eats fast food for breakfast and lunch five days a week, and dinner at home with his family. Dinner usually consists of meat (chicken, beef, or pork), tortillas, rice and beans, and one vegetable. He consumes one–two fruits or vegetables per day as part of dinner or as a snack. Alfredo is married and has two children who are in high school. Alfredo works as a construction foreman for a local construction company. He has a high school diploma.
Health promotion: He wears his seatbelt 100% of the time. Has not had a colonoscopy nor has one scheduled. Last vaccination over 10 years ago. Last dental exam two years ago.
Meds: Tylenol for back pain once per week, 1 gram per dose for two doses.
Allergies: No known drug, food, or environmental allergies.
ROS: Negative except for increased thirst and urination.
Vitals: HR: 88, BP: 155/92 R arm, seated RR: 14, WT: 245, HT: 5’8”, BMI: 37.2 kg/m2, Vision 20/35 Snellen Chart
PE: Well groomed, in no apparent distress. Head normocephalic, cranial nerves intact. Eyes PERRLA, EOMs intact. Optic disc margins sharp. TMs intact, pearly gray. Buccal mucosa pink, moist, and intact. Proper dentition. Lungs clear to auscultation bilaterally. S1S2 no murmurs. Pulses +2 throughout. No edema. Abdomen round with striae, tympanic throughout, soft, nontender. Liver span percussed at 15 cm. Uncircumcised, testis rubbery, smooth. No hernia.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
SOAP Note with Health Promotion Focus
- Analyze Alfredo’s potential health promotion activities by doing the following:
- Describe sixpatient- and family-centered areas of potential health promotion for Alfredo and his family.
- Explain how using motivational interviewing elicits patient-driven health promotion priorities. Include supporting scholarly literature to provide an evidence-based foundation for your explanation.
- Describe fivepotential allies and fivepotential barriers to change for Alfredo and his family that you foresee.
- Explain how incorporating the social ecological model and the readiness to change theory influences the health promotion plan, including supporting literature to provide an evidence-based foundation for your explanation.
- Describe the steps that will be used to support Alfredo in developing a patient- and family-centered health promotion plan.
- Describe the steps that will be used to assist Alfredo in creating SMART (specific, measurable, actionable, relevant, and timely) goals directly related to one of his priority health promotion areas.
- Provide a sample SOAP note that includes eachof the following aspects:
the subjective and objective data provided
the assessment portion (diagnoses you would provide)
the plan portion with one health promotion item expanded to include actionable goals
- Create a written follow-up plan by doing the following:
- Describe the known allies and barriers to change for Alfredo and his family.
Note: Please see part A3 to choose from the 10 potential allies and barriers identified there.
- Explain how involving the family and close contacts in health promotion can facilitate positive change.
- Describe the steps used to support Alfredo in modifying a patient- and family-centered health promotion plan.
- Analyze the progress of the plan by doing the following:
- Describe the process of determining patient-centered measures of progress.
- Describe the process of measuring patient-centered progress.
- Describe the importance of recognizing progress that is patient-directed.
- Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
- Demonstrate professional communication in the content and presentation of your submission.
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