Partner Risk Paper - Nicole Prins€¦ · PARTNER RISK ASSESSMENT 3 less red meat and more fish,...

Running head: PARTNER RISK ASSESSMENT 1

Partner Risk Assessment

Nicole Prins

Ferris State University

PARTNER RISK ASSESSMENT 2

Partner Risk Assessment There are numerous things in today’s society that contribute to one’s health in positive

and negative ways. But in today’s society, everything focuses more on the negative aspects of

health, while the positive aspects are harder to achieve and see. People find it easier to eat out

because it is cheaper than cooking a healthy meal at home; and once done eating moving around

is not an option. It is easier to sit around and watch television than to go outside and exercise.

Individuals need to find a way to exercise and eat better: and one way is through the Real Age

Test. The test asks questions regarding one’s overall health, family history, exercise, and diet.

This test then compares the person’s actual age with their “real age” (Roizen, and Oz, 2013). A

person can then assess their real age, look at the positive and negative aspects of their health, and

see where their age increases or decreases, and how to fix the issues.

Positive Health Practices

AC is a twenty-eight year old second semester nursing student who participated in the

Real Age Test, when reviewing AC’s results many positives stood out. First, she sticks to a

regular sleep schedule. According to the American Psychological Association (2014), the

average person needs around eight hours of sleep every night to feel rested (“Why Sleep is

Important”, 2014, 4.). Getting an adequate amount of sleep prevents “ obesity, cardiovascular

system problems, brain and nervous system problems, and immune system breakdown (“Why

Sleep is Important”, 2014, 4). Another positive practice AC employs is eating the recommended

daily allowance of fruit. According to the Centers for Disease Control and Prevention (CDC)

research shows eating ones fruits and vegetables lowers ones risk of getting cancer and other

chronic diseases; and provides vitamins, minerals and fiber that fill you up (“Fruits and

Vegetables”, 2013, para. 1). A number of other positive practices were shown including eating


less red meat and more fish, eating legumes, and keeping her diet diverse.

Health Issues

Although countless items made AC younger, many items also made her older. According

to the Real Age Test seen in Appendix A, AC’s Real Age was determined to be “30.4” years,

that is 2.4 years older than what she actually is. The categories where she increased her age were

a lack of cardio, toning or muscle strengthening, affinity for the couch, and exposure to

secondhand smoke (Roizen, and Oz, 2013).

Although AC does not smoke, her exposure to secondhand smoke does put her at risk for

the same types of diseases as a smoker. According to the CDC (2014) “cigarettes contain over

7,000 chemicals, and seventy of those chemicals can cause cancer” (“Health Effects”, 2014,

para.1). Exposure to secondhand smoke can cause cardiovascular disease, lung cancer,

emphysema, obesity, and sudden infant death syndrome (SIDS) in children (“Health Effects”,

2014, para.1).

Even though people classify a lack of exercise in today’s society as normal; it is not, and

is considered dangerous: even deadly. The consequences of not exercising regularly are

“cardiovascular disease, ischemic stroke, non-insulin-dependent (type 2) diabetes, colon cancers,

osteoporosis, depression, and fall-related injuries” (Heath et al., 2006, p. S56). According to the

Real Age Test, exercising sixty minutes a week doing cardio or aerobic activities will help ones

heart, lungs, and circulatory system deliver oxygen and nutrients properly (Roizen and Oz,

2013).

The biggest area of concern for AC is her sedentary lifestyle. The Real Age Test showed

she spends less than twenty-five minutes a week walking (Roizen and Oz, 2013). By walking

more she will decrease her “real age”, burn more calories, and make her brain and body feel


better. The benefits to increasing her exercise will be discussed later, and these interventions

will help AC live a healthier, longer life.

Increasing Exercise-Intervention

AC currently does not walk more than twenty-five minutes a week according to the Real

Age Test. This can affect her future because a lack of exercise leads to “fatty liver disease, type

2 diabetes, deep vein thrombosis, congestive heart failure, obesity, depression, and cancer”

(Booth, Roberts, Laye, 2012, para.1).

Additionally, AC needs to increase the amount of time she walks per day to prevent these

types of chronic diseases from occurring. In a study done by the American College of Sports

Medicine and the Centers for Disease Control and Prevention “exercising moderately for a

minimum of thirty minutes, five days a week showed a decrease in chronic disease” (Haskell et

al., 2007, 1081). AC is within this category; she exercises less than twenty-five minutes a week,

and getting up to the minimum of thirty minutes, five days a week would increase her health

exponentially. The study concluded that exercising daily reduces ones risk of “premature

chronic health conditions, maintains skeletal health, and achieves an energy balance between

food intake and body weight” (Haskell et al., 2007, 1084).

Increasing her amount of vigorous exercise would also benefit AC’s overall health. By

vigorously exercising in addition to walking at least thirty minutes, five days a week would

decrease the “real age” of AC. An analysis done on nurses studied the amount of physical

activity done daily; including walking, vigorous exercise and the relationship of coronary events.

The results then compared non-active nurses and their coronary events throughout the lifetime.

The coronary events throughout their lives were then compared, and the study concluded,”

walking and exercising vigorously decreased the amount of coronary events substantially”


(Manson et al., 1999, para. 26).

Wellness Diagnoses

Upon assessing AC’s data, two wellness diagnoses were formatted based on the Real Age

Test. The first diagnosis is enhanced knowledge related to sedentary lifestyle as seen by the Real

Age assessment (Sparks & Taylor, 2011, 4). This correlates with AC’s ability to explain what

the topic is, and behave with the diagnostic characteristics (Sparks & Taylor, 2011, 4).

According to AC she lives a sedentary lifestyle, and reports fatigue or weakness when exercising

for the first time (Sparks and Taylor, 2011, 4).

This also correlates to the second diagnosis, which is readiness for enhanced therapeutic

regimen management (Sparks & Taylor, 2011, 376). These two diagnoses directly correlate to

the clients’ lack of physical activity, and a need to be active so that she can prevent any future

chronic disease (Sparks & Taylor, 2011, 376).

Goals

Two SMART (specific, measureable, attainable, and realistic-time bound) goals were set

for AC based on previous assessments and planning. The first goal was to increase her exercise

regimen daily. It stated, “AC will exercise two days a week, for two weeks at fifteen minutes per

session”. The second goal focused on AC writing down her exercise dates and times, and how

the session went. This read “ AC will write down one word after exercising based on how she

felt the exercise session went”.

Transtheoretical Model

The Transtheoretical Model tells a nurse how much the client is ready to change their

behavior. AC is currently in the active stage; she is exercising twice a week at thirty minutes a

session. She began exercising twice a week at ten minutes per session, and the time amounts


have increased. The exercise regimen has kept increasing since the goal was set; one week was

missed due to illness (DiClemente, 1993,102). Therefore, the changes AC has implemented will

stick with her daily regimen; now it is important to educate her based on her wellness diagnoses.

This implement will be an overall change to AC’s health, and they will be a change that sticks

with her lifestyle.

Evaluation

After two weeks of exercising and writing down how she felt after exercising AC met

each of her goals. According to Appendix B, AC created an exercise log that shows the dates

and times exercised, and what she accomplished during the session. The log showed that AC is

working out at least two times a week sometimes more, and has increased her workout times as

the weeks progressed. AC stated during our meeting that she felt exercise was helping her mind

and body perform at a higher level; and she felt she had a clearer mind and a healthier body (N.

Prins, personal communication, June, 14, 2014).

AC also met her second goal; after each exercise session AC wrote down a word based

on how she felt the session went. The goal was to get AC to voice her emotions on paper, and

voice the way exercise affects her emotions. If she felt good about herself, a positive word was

put down, and if she felt bad a negative word was put down. The examples can be seen in

Appendix C.

Looking back at AC’s progress and how she met each one of her goals the only thing to

do was to adjust the first goal and make it more difficult. With an adjustment of the first goal,

she should be able to make herself healthier and stronger. Adjusting the first goal by adding

another exercise day or increasing her workout time to forty minutes a day three times a week

should provide more complexity for her.


This also meant the second goal could be adjusted, and AC would write down more

emotions regarding exercise, or her overall feelings. She could also add an area in the journal

that describes the different exercises she does, and if she likes them. Then she knows whether or

not to continue with the workout. If this does not work, additional changes will be needed.


References

Booth, F. W., Roberts, C. K., & Laye, M. J. (2012, April 1). Lack of Exercise is a Major Cause

of Chronic Diseases. Comprehensive Physiology. doi:10.1002/cphy.c110025.

DiClemente, C. (1993, August). Changing Addictive Behaviors: A Process Perspective. Current

Directions in Pscyological Science, 2(4). JSTOR.

Fruits and Vegetables. (2013, September 12). Centers for Disease Control and Prevention.

http://www.cdc.gov/nutrition/everyone/fruitsvegetables/index.html?s_cid=tw_ob191.

Haskell, W. L., Lee, I., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., & Macera, C. A.

(2007, August 28). Physical Activity and Public Health Updated Recommendation for

Adults front he American College of Sports Medicine and the American Heart

Association. Medicine and Science in Sports and Exercise. doi:DOI:10.1161/CIRCULA

TIONAHA.107.185649.

Health Effects of secondhand smoke. (n.d.). In The Centers for Disease Control and Prevention.

http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects

/.

Heath, G. W., Brownson, R. C., Kruger, J., Miles, R., Powell, K. E., & Ramsey, L. T. (2006).

Journal of Physical Activity and Health. The Effectiveness of Urban Design and Land

Use and Transport Policies and Practices to Increase Physical Activity: A Systematic

Review, 3. http://www.aapca3.org/resources/archival/060306/jpah.pdf.

Manson, J. E., Hu, F. B., Rich-Edwards, J. W., Colditz, G. A., Stampfer, M. J., Willett, W. C., &

Speizer, F. E. (1999, August 27). A Prospective Study of Walking as Compared with

Vigorous Exercise in the Prevention of Coronary Heart Disease in Women. The New

England Journal of Medicine. doi:10.1056/NEJM199908263410904.


Roizen, M. and Oz, M. (2013). RealAge. Retrieved from http://www.realage.com.

Sparks, S. & Taylor, C. (2011.) Nursing diagnosis pocket guide. New York, NY:

Lippincott & Williams.

Why Sleep is important and what Happens when You don't get enough. (2014). American

Psychological Association . http://www.apa.org/topics/sleep/why.aspx?item=4.


Appendix A Real Age Test Results


Appendix B Workout times Exercise dates and times AC May 21, 2014: 10 minutes- elliptical May 23, 2014: 10 minutes- walked Stella May 25, 2014: 15 minutes, elliptical May 27, 2014: 15 minutes: walked Stella May 29, 2014: 15 minutes: walked June 2, 2014: 20 minutes: walked June 6, 2014: 15 minutes: walked Stella June 9, 2014: 25 minutes: walked Stella June 11, 2014 25 minutes: elliptical June 13, 2014, 25 minutes: walked Stella June 16, 2014: 5 minutes: walked June 21, 2014, 10 minutes: walked Stella June 22, 2014: 30 minutes: elliptical June, 23, 2014: 35 minutes: elliptical June 24, 2014: 35 minutes: walked Stella June 27, 2014: 35 minutes: walked June 29, 2014: 40 minutes, walked Stella June 30, 2014: 40 minutes, walked Stella . Week four met with patient, and discussed results, how she thought she was progressing, and if anything needed to be modified. Discussed we three and why she didn’t work out that much that week; had tension headaches and couldn’t get out of bed much until the weekend. Patient felt no need to modify progress, felt plan was working well, and she felt like she was on track.


Appendix C Daily Word for Exercise May 21, 2014: 10 minutes: Hatred May 23, 2014: 10 minutes: Despise May 25, 2014: 15 minutes: ACHY May 27, 2014: 15 minutes: Clear May 29, 2014: 15 minutes: Happy June 2, 2014: 20 minutes: Stunning June 6, 2014: 15 minutes: grumpy June 9, 2014: 25 minutes: Happy June 11, 2014 25 minutes: Clear-headed June 13, 2014, 25 minutes: Strong June 16, 2014: 5 minutes: Terrible June 21, 2014, 10 minutes: Nauseated June 22, 2014: 30 minutes: Achy June, 23, 2014: 35 minutes: Hurt June 24, 2014: 35 minutes: Beautiful June 27, 2014: 35 minutes: Clear-headed June 29, 2014: 40 minutes: Stronger June 30, 2014: 40 minutes: Healthy


Appendix D

Dear AC, The goals that we set forth for you were ambitious, but you took them in stride and pulled them off. You made them effort to exercise as much as you could, whenever you could, and wrote down the time and dates so that we could measure your progress throughout this time. As you have seen the goals and progress we set forth for you seem to be working very well, and the need to revise them may come in the future, but as of now I see no need to revise the system we have set in place for you. Continue to exercise three to four days a week, and write or type the dates and times in a log so that you can monitor your progress. I would recommend keeping your exercise time at thirty to forty minutes, and doing a ten to fifteen minute cool down period after that. Do whatever type of exercise works for you; and make sure to mix it up so that your body does not get used to the same thing. Also continue to eat healthier meals with more fruits and veggies. If possible, eat out less; and if you do need to eat out pick the healthiest option available. Remember, you know what you are doing, and you are making great strides, and looking great, and helping your body in the end. Continue the progress. Nicole Prins


PARTNER/RISK REDUCTION PAPER

Assessment and Diagnosis Rubric Total Possible Points

=200 Points Earned

Assessment 60 Real age test completed, results interpreted and discussed in paper; summarize both positive and negative. Include REALAGE ‘age’ of client.

20

Area of risk focus discussed in depth supported by literature

20

Two Wellness diagnosis for area of focus; supported by data and research ; EBP journal article cited. Sparks & Taylor wellness diagnosis.

20

Planning and Intervention Rubric 60 Points Earned One SMART obtainable goals should be able to measure progress. Additional information such as food or sleep logs placed in Appendix of paper.

10

Interventions based on EBP ~ includes one peer reviewed journal article as a reference for at the minimum two interventions

20

Includes review of information re: TTM and readiness for change supported by citations

20

Evaluation and Reflection 50 Points Earned Evaluate partner’s progress toward SMART goals according to measured objective date.

25

Reflect on any changes that are necessary in order for partner to reach goals; include references/support for these changes. Include letter to client in appendix re: goals/changes.

25

APA 30 29 APA format and references cited properly; scholarly writing; spelling and grammar accurate;

Minor errors

Total Points Earned: 189

Partner Risk Paper - Nicole Prins€¦ · PARTNER RISK ASSESSMENT 3 less red meat and more fish,...

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