By: Alivia Lamb

Pseudonym: Patient M Gender: Female Age: 36 Education: Graduated high school and graduated a trade school Profession: Works in sales and customer service for Zevez Family Situation: Lives with boyfriend of seven years Chief Complaints: Severe migraines and headaches Client Overview

Weight: 165 lbs. Height: 5’ Adult Illnesses: Patient M has experienced no adult illnesses Family Health History: Throat caner, colon cancer Modes of Relaxing: Spending time outside and gardening Overview of Health History

About thirteen percent of Americans experience migraines a year. Those people normally experience 34 to 37 migraines in a year About thirteen percent of Americans experience migraines a year. Those people normally experience 34 to 37 migraines in a year Wachholtz, Amy B., and Kenneth I. Pargament. "Migraines and meditation: does spirituality matter?" Journal of Behavioral Medicine 31.4 (2008): Wachholtz, Amy B., and Kenneth I. Pargament. "Migraines and meditation: does spirituality matter?" Journal of Behavioral Medicine 31.4 (2008): It’s been proven that certain foods that are high in tyramine can cause, or lead to migraines and severe headaches. Tyramine is a substance that forms from the breakdown of protein in certain foods and the longer the food has been aging, the greater the tyramine content will be. Some people are sensitive to tyramine which is why the headaches and migraines happen It’s been proven that certain foods that are high in tyramine can cause, or lead to migraines and severe headaches. Tyramine is a substance that forms from the breakdown of protein in certain foods and the longer the food has been aging, the greater the tyramine content will be. Some people are sensitive to tyramine which is why the headaches and migraines happen Fighting Food-Related Headaches. (n.d.). WebMD. Retrieved May 19, 2014, from. Fighting Food-Related Headaches. (n.d.). WebMD. Retrieved May 19, 2014, from. Research

We will be attempting to relieve her migraine symptoms by changing her diet. Target Behavior

High Perceived Susceptibility: There is a very high possibility that her migraine symptoms will continue, maybe even become worse High Perceived Severity: Does get bad migraines and has been severely affected by them Perceived Barriers: Does not have the best memory so may forget what foods to avoid High Self-Efficacy: Wants to relieve her symptoms. Has tried in the past but nothing has worked so far. Willing to do this Theory (HBM)

Changing her diet will possibly reduce her migraine symptoms Different Ways of changing her diet: Find good recipes that will still taste good but do not use the foods she needs to avoid Raise Perceived Benefits: Avoiding these foods may reduce migraine symptoms which will then be less intruding in her daily life. There will be no worry of not being able to do certain activities because of painful symptoms Get Help from Peers: to remind her to avoid certain foods Theory (cont.…)

For the following three weeks Patient M will be attempting to relieve herself of her painful migraine symptoms. She will be doing this by avoiding certain foods and drinks that are known to cause migraines. I will be helping her come up with ways to avoid them that will still allow her to eat meals she likes. I will be finding new recipes that do not include these foods. We plan to have her in the habit of avoiding these foods on her own by the end of the third week Smart Goal

In the beginning, Patient M was not successful. In the week 1 checkup, Patient M had said that she did not avoid the foods because she forgot. In the week 2 checkup, Patient M did not avoid the foods for almost the whole week. She did, however, remember to avoid them the night before the week 3 checkup. In the week 3 checkup, Patient M had avoided all of the foods she had been told to. She did not avoid the drinks though. This was still a large improvement over the previous weeks. Results Week #Avoided Food?Avoided Drink? 1NN 2NN 3YN

I believe that using a theory did not help very much at all in the process of choosing an intervention tactic or the behavior change in general. I had a lot of trouble with the health belief model and the SMART goal because I didn’t know exactly what I was supposed to be saying for it. After reading all of the articles I learned a lot of new information that I did not know before. Much of the information was very helpful when I had to choose a way to help Patient M with her migraines. Over all, I feel like this project helped both me, and Patient M. Personal / Professional Analysis

Wachholtz, Amy B., and Kenneth I. Pargament. "Migraines and meditation: does spirituality matter?" Journal of Behavioral Medicine 31.4 (2008): Fighting Food-Related Headaches. (n.d.). WebMD. Retrieved May 19, 2014, from. References