1. By: Sarah Kalinoski

2.   Gender: Female  Age: 55  Education: High School, some college  Profession: Integrations Specialist  Family Situation: Not married, lives with 2 of her children  Chief Complaints: Weight gain, tense, back and neck pain, chest pressure Client Overview

3.   Weight: 155  Height: 5’4  Adult Illnesses: N/A  Family Health History: Colon Cancer, diabetes, heart disease  Modes of Relaxing: Gardening, walking, watching television. Overview of Health History

4.   Reducing stress in your life will help with chest pain, if not associated with heart, lung, or gastrointestinal problems (? Types of Chest Pain & Causes of Each. (0000, May 3). WebMD. Retrieved May 19, 2014, from http://www.webmd.com/pain-management/guide/whats-causing-my-chest- pain).  Back pain occurs most often between ages 30-50. As peoples age, bone strength and muscle elasticity and tone decrease (Low Back Pain Fact Sheet. (n.d.). : National Institute of Neurological Disorders and Stroke (NINDS). Retrieved May 19, 2014, from http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm).  Pain can occur when, for example, someone lifts something too heavy or overstretches, causing a sprain, strain, or spasm in one of the muscles or ligaments in the back.  Caffeine enters the bloodstream and can have a stimulating effect as soon as 15 minutes after consumed. Once in the body, caffeine will persist for several hours: it takes about 6 hours for one half of the caffeine to be eliminated. (Caffeine and Sleep. (n.d.). Caffeine & Sleep Problems. Retrieved May 19, 2014, from http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/).http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/ Research

5.   Increase healthy eating and exercise. Target Behavior

6.   Personal factors: Self- management skills, level of education.  Environmental factors : Family behavior  Other behaviors that support the unhealthy behavior, more likely to engage in unhealthy behavior.  Intervention to address whole system, not just the individual  When only the individual is addressed, less likely to change. Theory (SCT)

7.   Continue cutting out bad foods  Try a couple new fruits or vegetables each week.  Increase walking time. If client wants, she could set a personal goal for herself. Example: By week 8, I want to be able to walk 5 miles.  Client can try experimenting with different workouts, if walking gets boring for her.  Document food intake, make adjustments if necessary. Smart Goal

8.   Working with client to chose a health behavior to change  Thinking of a pseudonym to use.  Slowly improving client’s health Intervention Highlights

9.   Succeeded in increasing exercise time  Changing what she ate- cut out bad foods and had more of the healthy ones.  Over all, my client did a good job at listening to the recommendations I gave her and trying to add them to her lifestyle.  Even if she was off track one week, she did a good job trying to get back on track. Results

10.   It’s not easy trying to help someone change. They depend on you a lot throughout the process.  It was fun to see my client make small changes with herself, and like the things I suggested.  Seeing her happy with any small result she got was very rewarding. Personal / Professional Analysis

11.   Caffeine and Sleep. (n.d.). Caffeine & Sleep Problems. Retrieved May 19, 2014, from http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/http://sleepfoundation.org/sleep-topics/caffeine-and-sleep/  Low Back Pain Fact Sheet. (n.d.). : National Institute of Neurological Disorders and Stroke (NINDS). Retrieved May 19, 2014, from http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm  What Causes Chest Pain? Types of Chest Pain & Causes of Each. (0000, May 3). WebMD. Retrieved May 19, 2014, from http://www.webmd.com/pain- management/guide/whats-causing-my-chest-painhttp://www.webmd.com/pain- management/guide/whats-causing-my-chest-pain  Neck Pain and Shoulder Pain Symptoms and Causes. (n.d.). WebMD. Retrieved May 19, 2014, from http://www.webmd.com/pain-management/guide/neck-shoulder References