Health Improvement Plan Courtney Leloff

Client Overview Gender: Female Age: 45 years old Highest Grade Completed: 2 Year College Chief Complaints: No energy throughout the day, high blood pressure

Health History Height: 5’7’’ Weight: 175 Pounds Bilateral Mastectomy on September 6th 2013 at Good Samaritan Hospital High blood pressure after the surgery No energy after surgery

Research Changing Your Habits: Steps to a Better Health Changing Your Clients’ Eating Behaviors “Write down your progress. This can be one of your most important tools for staying on a healthy path. Recording progress serves as a good reminder, helps to keep you focused”(Changing Your Habits: Steps to a Better Health, Page 5). “Teach clients the value of using smaller plates ad serving utensils at home. For drinks, suggest they use tall, narrow glasses. Research indicates that decreasing plate and glass sizes may make people believe they are getting a larger portion simply because their dish or glass is full”(Changing Your Clients' Eating Behavior, Page 1).

Research Changing Behavior: Using Motivational Interviewing Techniques Individual and Community Models for Dietary Behavior Change “Belief in Ones ability to make a change and stick to it is fundamental to that change. You may want to use this as an outcome of a motivational interview intervention, as increased self-efficacy is predictive of improved mental health”(Changing Behavior: Using Motivational Interviewing Techniques, Page 45). “This model is consistent with the overall sequencing of interventions, in which initial activities emphasize awareness and motivation, followed by opportunities for action, and later promoting maintenance of change”(Individual and Community Models for Dietary Behavior Change, Page 82).

Eating Healthier and exercising weekly for four weeks Target Behavior Eating Healthier and exercising weekly for four weeks

Behavior Theory Transtheoretical Model (“Stages of Change”) Pre-contemplation -Are unaware of the dangers of their behavior or are willing to change in the foreseeable future Contemplation -When they are seriously starting to consider changing and intend to do so in the next six months Preparation -People make goals to change soon Action -You are acting on your plan and making changes you set out to achieve Maintenance -When the new behavior ahs become “normal” Termination -No longer any temptation to return to the old behavior

Intervention Plan Review you plan and keep an activity journal or food diary to track your progress Believe you can change Limit portions Ask friends or a family member for help if needed Reward yourself when you have completed your goal

4 Week Short Term Goal Week 1-May 14th -Eat less sugar and exercise (walking or riding bike) Week 2-May 21st -continue the goal Week 3-May 28th -Chart diet and exercise for the last week Week 4-June 4th -Continue the goal and try to improve

Intervention highlights Client showed progress by exercising more Client changed diet and ate healthier Felt better and more energized

Results Client (Pseudonym): Miranda Smith Date Exercise Diet Thursday 5/29/14   Walked ½ mile Yogurt, raspberries, chicken and veggies Friday 5/30/14 Yogurt, muffins, popcorn, chicken tacos Saturday 5/31/14 Walked 1 mile Pancakes, turkey sandwich, roast beef sandwich Sunday 6/1/14 Did yard work Gyro, chicken, potatoes, veggies, salad Monday 6/2/14 Chicken tacos, pad Thai, yogurt Tuesday 6/3/14 Raspberries, beef hot dog, sesame salad with chicken Wednesday 6/4/14 Yogurt, pizza, sesame salad, chicken taco

Results X Week 1 Days exercised Week 2 Week 3 Week 4 Sunday Monday Tuesday Wednesday Thursday Friday Saturday Week 1 Week 2 X Week 3 Week 4

Personal/Professional Analysis Using the articles helped me through creating an intervention plan I feel good that the client showed improvement with changing their health behavior Using the Health Behavior theories helped me I wish I would’ve gotten more articles I wish I would’ve done more research about the health behavior

APA Citations Changing Your Habits: Steps to Better Health. (2008, May 1). WIN. Retrieved May 13, 2014, from http://win.niddk.nih.gov/publications/changing-habits.htm Gallagher, K. (2007, April 1). Changing Your Clients' Eating Behaviors. . Retrieved May 13, 2014, from http://www.ideafit.com/fitness-library/changing-your-clients-eating-behaviors-0 Bundy, C. (2004, January 1). Changing behaviour: using motivational interviewing techniques. . Retrieved May 13, 2014, from http://www.eatsmartmovemorenc.com/MotivationalInterviewing/Texts/changingbehavior.pdf Glanz, K., & Eriksen, M. (n.d.). Individual and Community Models for Dietary Behavior Change. . Retrieved May 13, 2014, from http://www.med.upenn.edu/chbr/documents/1993-Glanz-Individual_and_Community_Models_for_Dietary_Change.pdf