Transition to Professional Nursing
Nursing Process Health Promotion Assignment (20%)
The objectives (1fthe NURSING PROCESS HEALTH PROMOTION ASSIGNMENT are to:
D~v:lo~!a n~sing processcareplan that focuseson the healthpromotionof an adult
Wlthmalfamlly.
Utilize internetandcourseresourcesto developan assessment,
nursingdiagnoses,
planning;(with specificoutcomecriteria,interventions,and evaluation)for the nursing
processhealthpromotioncareplan.
Your NURSING PROCESSHEALTH PROMOTIONASSIGNMENT is as/ollows:
Select an adult <r-lient.You can use yourself as the client for the health promotion paper. If you
prefer not to provide information on yourself, you can use a friend or relative or other client.
Write the nursiQgprocess paper IN THE THIRD PERSON ("he," "she") so the reader will not be
able to identify whether it was completed by you or another individual. If YOUmade vourself the
client stand ba and include what the nurse should do in lannin interventions and
evaluation.
ASSESSMENT
Perfoml a health promotion assessmenton an individual. Each type of assessmentinstrument has a
unique
focus;
however,
there
will be some
data should
con$ist
of the
following:
. overlapping in the dimensions that are assessed. Assessment
1. General lifestyle appraisal: General lifestyle instruments assessa variety of dimensions to provide
an overall "picture" of the individual's lifestyle. There are many web sites that offer a free
assessmentof general lifestyle. Go to the web site that is listed below, review and complete the
general lifestyle appraisal instrument, and summarize the findings (strengths and weaknesses)for
EACH dimension. Write a paragraph for your summary.
.Live
Well. we!lness.uwsD.edu/Health
Service/Services/livewell/
2. Health risk appraisal: A health risk appraisal assessesan individual's risks to his/her health, such
as cancer or other illnesses. Since general lifestyle is connected to health risks, you may find
similarities between lifestyle and health risk appraisal instruments. Go to the web site that is listed
below, review and complete the health risk appraisal instrument, and summarize the findings
(strengths and weaknesses)in one paragraph.
.YouFirstHealth
RiskAssessment.www.voufirst.com
3 Fitness appraisal. Fitnessplaysa significantrole in an individual's healthand healthrisks. There
area manyweb site instrumentsthat assessfitness. Go to the web site that is listed below, review
the instrumentthat relatesto fitnessassessment,
completethe instrument,and summarizethe
findings (strengthsand weaknesses)
in oneparagraph.
12
Shape UpAmerica FitnessCenterAssessment.
WWW.shaeu .or fitness/assess/fset2.htm
4 Nutritional appraisal.
Nutrition also plays a significant role in an individual's health and
health risks. There are a variety of instruments that assessnutritional status and health risks. Go to
the web site !thatis listed below, review the instrument that relates to nutritional assessment,
complete the instrument, and summarize the findings (strengths and weaknesses)in one paragraph.
.USf)A-CNPP
Interactive Healthy Eating Index. www.usda.{!ov/cn~~
5 Injury prevention appraisal. Injuries account for a significant amount of morbidity and mortality
in the US. There are a variety of instruments that assessenvironmental risks for injuries. Go to the
web site that is listed below, review the instrument that relates to injury prevention appraisal for the
home (the instrument works for all--notjust older--adults), complete the instrument, and summarize
the findings ,(strengths and weaknesses)in one paragraph.NOTE: Use the SEARCH option at the
web site to $nd the Safety Checklist.
.US
(:'PSC: Safetyfor Older Consumers Home: Safety Checklist. WWW.CDSC.gov
5,
Stressappraisal. Researchhas shownthat stressors(perceivedand actual)influencehealth. There
are a variety~~f instruments that assessstress.Go to the web site that is listed below, review the
instruments I;~atrelate to stressassessment,complete ALL the instruments below, and summarize
the findings t strengths and weaknesses)in one paragraph.
.Inp14t Forms: StressSources,DistressSymptoms& StressBalancing Strategies
well!less. UWSD
.edulHealth Service/Services/stress/sources.html
well~ess.uwsD.edulHealth Servic~/Services/stress/svmntoms.html
well~ess.UWSD.
edulHealth Service/Services/stress/balance.html
6. Psychosocial appraisal. Researchhas shown that psychosocial dimensions, such as how an
individual p~rceives self (his/her degreeof self-esteem), and interpersonal relationships and
communication influence health. Go to the web sites that are listed below, review the instruments
that relate to psychosocial appraisal, complete ALL of the instruments below, and summarize the
findings (strengths and weaknesses)in one paragraph.
.Self-Esteem Self-Test. www.welinessnet.com/tests.htm
.Healthy
Interpersonal Communicationand RelationshipsSelf- Test
WWW.wellnessnet.com/tests.htm
7 Addiction appraisal. Researchhas also shown that addictions impact health. The most common
addictions il} the U.S. are to nicotine and alcohol. These addictions and others (i.e., eating disorders,
substanceabuse;gambling addiction, sexual addiction, and even internet addi<;.tion)can be
devastating to an individual's (and his/her family's) health. There are self-test instruments that
assessfor an addiction. Go to the web site that is listed below, review the self-test instruments that
relate to a p<)ssibleaddiction, complete the instrument(s) IF APPLICABLE, and summarize the
findings in one paragraph.
.Am
J addicted? www. promises.com/sub~a.html
8. Perceiveddegree of control over health status. Individuals mustperceivesomedegreeof control
over their healthto makechanges.If individualsfeel thereis nothing they cando to changetheir
3
healthrisks, then healthpromotioneducationwill be ineffectual. Go to the web sitesthat are listed
below, reviewthe instrumentsthat relateto perceiveddegreeof control overhealth,chooseand
completeONE of the instruments,and summarizethe findings (strengthsand weaknesses)
in one
paragraph.
.Multidimensional
Health Locus o/Control (ScalesA and B).
www.vanderbilt.edu/nursinf!.!kwaliston/mhlcscales.htm
.Health
Orientation Scale. www4.semo.edu/snell/scales/HOS.htm
NURSING DIAGNOSIS
Basedon the resultsof the assessment,
selecttwo (2) nursingdiagnoses.SeeExamlliesQfWellness
Diagnoses.
PLANNING/OUTCOME CRITERIA
As noted in the text, if the client concludesthathe/shealreadyhaspositive functioning in a
certainarea,the client canusethis informationto help him/herreacha higherlevel of
functioning.
If the client is in needof positive functioning in a certainpatternarea(s),the client can
Collaboratewith the nursein settingpriority goals(be certainto indicatea time frame)
for increasedpositive functioning;
Collaboratewith the nurseto identify possiblebehaviorchanges,assignpriorities
to behaviorchanges;make commitmentto changebehavior(self-contract);identify
effectivereinforcementsandrewards;determinebarriersto change;
Collaboratewith the nursein exploringavailableresourcesto assistwith the change,and
developa schedule(be specific)for implementingthe behavior.
Make the plan/outcome criteria ~-centered,
e.g., the "client will
" Relate the
plan/overall goal to the nursing diagnosis. For example, if the WELL client has "low
weight," then the overall goal may be to have "appropriate nutritional intake." Use ~
evidenced bv as introduction to stating measurable (time/amount) outcome criteria:
NURSING INTERVENTIONS
Self-responsibilityis emphasizedfor implementingthe plan. The client is the primary decisionmaker,
andthe nurse'srole is to ascertainthatthe assessment
is accurateand complete,andthe goalsare
individualizedand attainable.Make the interventions !!!!!§£-centered. Be specific (so anyonecould
carry out the interventions) and state frequency/amount/time,e.g.,the "nurse wilL.." Suggested
nursingstrategies(be specificasto how often, how much, etc.) for behaviorchangesinclude:
.Supporting;
.Teaching;
.Consulting;
.Coordinating;
.Facilitating;
.Counseling;
.Enhancing
14
Intervention references should be researched-orfactually based. For example, if a health promotion
goal is to stop smoking, references should include Quality internet resources or iournal articles that relate
successful strategiesto stop smoking.
EVALUATION
Evaluationis ongoingand a collaborativeeffort betweenclient andnurse.Evaluationis basedon the
plan/outcomecriteria (both shortandlong teffil). Look at your measurableDlan/outcomecriteria
and state whether the client has achievedthe criterion. e.g., Long teffil evaluationwill probablynot
be possiblein this paper;however,the evaluationshouldinclude what~ be evaluated.
Documentation of assignmentcompletion:
GENERAL GUIDELINES: The GENERAL FORMAT of the paper should be the
following:
EXAMPLE OF ONE (1) NURSING DIAGNOSIS, PLAN/OUTCOME CRITERIA,
INTERVENTIONS, AND EVALUATION
ASSESSMENT
Summarize and prioritize. For example, one assessmentfinding may be low body weight
(provide data such as weight %tile) and emaciation (% body fat).
NURSING DIA GNOSIS
Potentialfor enhancedweight gainthroughappropriatenutritional intake
PLAN (OVERALL GOAL)/OUTCOME CRITERIA
The client will have enhanced weight gain through appropriate nutritional intake as evidenced by:
1. Verbally den)lonstrating
understandingof the Food GuidePyramidwithin one (1) week.
2. Verbally demonstratingunderstandingof a properlybalanced2500 calorie diet plan within two (2)
weeks.
3. Creatinga mealplan for one on day seven(7).
4. Increasingconsumptionof nutritional foods by (1) food item/dayuntil a properdiet is achieved.
5. Decreasingconsumptionof junk foods by (1) food item/dayuntil a properdiet is achieved.
6. Gaining 1-2 lbs per weekuntil FDA recommendedbody weight is achieved.
7. Achieving FbA recommendedbody weightof 124poundswithin 3-4 months.
INTERVENTIONS
The~will:
1. Provide client with written information about required nutrients, food guide pyramid and planning a
meal plan for a 2500 calorie diet on day (1).
2. Teach client about the importance of proper nutritional intake on days (1) to (7).
3. Teach client about the food guide pyramid, required nutrients, meal planning and reading labels to
ascertain nutritional content of foods on days (1) to (21).
4. Facilitate the learning process by using audio and visual aids.
5. Facilitate the learning process by allowing time for client questions.
6. Assist the client in forming a meal plan for one day on days (7), (14), and (21).
~
7. Refer the client to weight control support group on day (1).
8. Have client weigh self weekly and document.
EVALUATION
1. Verbally de$onstratedunderstandingof the food guidepyramid within (1) week.
2. Createda m~alplan for one day on day(14), etc.,etc...
SPECIFIC GUIDELINES:
PROCESS HEALTH PROMOTION PAPER
om ts!
--Assessment:
St1eabovefor guidelinesDO
NOT INCLpDE YOUR RAW ASSESSMENTDATA WITH THE PAPER
. General'lifestyleappraisal(oneparagraph)
. Healthqsk appraisal(one paragraph)
. Fitness~ppraisal(one paragraph)
.....Nutritio~al appraisal(one paragraph)
25
Stressall>praisal
(one paragraph)
Psychos~cialappraisal(oneparagraph)
Addiction appraisal(one paragraph)
Perceiv9ddegreeof control over health(oneparagraph)
~~~~~~~~~~-~~~~~
I~~~£!!_~~gn?s
---~~~~~.-
-~
e~""~~~~~l!!~~
10
~---~-~
Lrlleria: See abovl!1~~~~!~~~i~es
20
Seeabovefor guidelines
20
Interventionsmustbe referenced.
10
"'ormat:
........
AP A style
Title page
Paginated
10-12point font
Double-$paced
15
1 inch margins all around is OK
Correct spelling
Correct Useof grammar (EX: correct paragraphing, no run-on sentences)
~"'~
'!'~~~~,~~"-"
[NURSING
~1~~~!~g/Outcome
!lnterventions:
~
100
I
p.
~'~-~--~
,-~-~~~-,-~,~-~"--~~"~"~~
=c=~"~"C~"..,~~"~~~-~~~~~~--"~
i
16