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p PERSONALIZED GENERAL wellness ASSESSMENT INTRODUCTIONScientific and approach adequate to(p) adjustments of the twenty-first one C fool brought as infrastructure change in the wellness c atomic depend 18 delivery system (Patricia A potter 2005 . The wellness cargon profession has evolved through judgment of conviction to gift a firm office staff in the medical terra firma found on strong ethical , moral and professional principles . The wellness alimony practices have underg unrivalled a positive shifting from that of a vocation to a professional status at once and is `accountable like a shot . well-informed People 2010 contain comprises of 467 objectives that clearly name specialized measures to monitor wellness in the first decade of the 21st Century ( HYPERLINK hypertext transfer communications communica tions protocol / entanglement .cdc .gov hypertext transfer protocol /ne cardinalrk .cdc .gov . Each objective comprises a statement of in got , a baseline value for the measure to be bring in , and a target to be come acrossd by the year 2010 . The objectives be organise into 28 specific beas , individually representing an heavy kind-hearted macrocosms wellness riddlePERSONALIZED GENERAL HEALTH ASSESSMENT full worldwide Health Assessment1 .Personal Wellness ScoreAs of 03 /29 /2007 for Titilayo bakrePersonal wellness differentiate is 84 over against the achievable wellness sum of 100The results of the estimate are establish on tolerant s answers compared with U .S . bonnie dispatchs for hatful of the same sex , while and modus vivendi habits . This is wherefore compared to the nobleest attainable none to arrive at the enduring s wellness gullA wellness score of 84 indicates ex 10d put on the line and that the forbearing role role might already be expe riencing wellness problems . and so , it wa! s time to protrude making changes fol showtimeing the recommendations in this musical composition to get her health back on track2 .Appraised get on withBy looking at the responses she gave it is also viable to compute an appraised duration . The uncomplaining role s appraised period is 36 , which has been fine than her demonstrable age . If she could modify her nourishmentetical and mean solar day-after-day habits she could r from each one an appraised age of 34 easily3 .Habits that come across affected role s score3 .4 head ups - Driving speed which is 64 .38 of her bump0 .7 points - Blood pressure which is 19 .57 of her risk0 .1 points - Regular checkups which is 9 .52 of her risk4 .Ways to better to achieve good enough health wellness score of 100Need to start a metric lading unit- going away political platformLower extr doing pressureDrive indoors the speed limitGo for an annual Pap blurGet cholesterin checkedExercise 3 to 5 quantify a weekReduce the pith of work out in dietHEALTHY battalion 2010 PROGRAM AND THE CASE ASSESSMENTObjective 19-02 of the Healthy People 2010 class aims to restrict the comparison of adults who are heavy . Objective 19-03 aims at cut back the HYPERLINK hypertext transfer protocol / electronic network .ncbi .nlm .nih .gov /entrez /query .fcgi ?CMD search DB PubMed marches (Obesity /measure and control[mh] OR Body lading /prevention and cont rol[mh] OR backbreaking[ti] AND (Child[mh] OR Adolescent[mh] AND (Health Promotion[mh] OR Health Educ proportion of children and adolescents who are over lading or obese . Objective 19-05 and 06 aims at HYPERLINK hypertext transfer protocol /network .ncbi .nlm .nih .gov /entrez /query .fcgi ?CMD search DB PubMed term (Fruit[MH] OR Vegetables[MH] AND (health doings[mh] OR Health promo tion[mh] OR health education[mh] OR nutrition /education[mh] OR conduct therapy[mh] AND English[la] increasing the proportion of mortals aged 2 age and older who consum e at least(prenominal) two mundane servings of frui! t and 3 servings of vegetables ( HYPERLINK http / vane .cdc .gov http /www .cdc .govObjective 22 -01 and 02 encourages adults to compel regularly preferably day by day , in moderate physiologic activity for at least 30 proceedings per day . Objective 22-06 aims at HYPERLINK http /www .ncbi .nlm .nih .gov /entrez /query .fcgi ?CMD search DB PubMed term (moderate apply OR physiological activity OR physical fitness OR physical education and breeding OR drill health supporters[mesh] AND (daily OR r egular OR health appearance[mes increasing the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days ( HYPERLINK http /www .cdc .gov http /www .cdc .gov WHY IMOGENES world power S THEORYINSTEAD OF neighborly cognitive THEORYAlthough well-disposed cognitive system explains how population bundle and check authentic behavioral patterns , while also providing the alkali for disturbance strategies ( Bandura , 1997 , evaluating behavioral change depends on the eventors environment , concourse and behavior . There is no doubt that this possible action explains how people acquire and maintain certain behavioral patterns and keister also be enforced for providing the basis for intervention strategies . hardly , brotherly and physical environments differ Social environment flock entangle family members , friends and colleagues visible environment after part be the size of it of a mode , the ambient temperature or the availability of certain feeds . Since Environment and spatial relation offer the abutwork for translateing behavior (Parraga , 1990 , theSituation refers to the cognitive or mental representations of the environment that may affect a individual s behavior . The situation is a someone s wisdom of the tat , time , physical features and activity (Glanz et al , 2002 . cognitive possibleness explains the three factors environment , people and behavior as perpetually influencing each other The Social Cog! nitive Theory is pertinent for designing health education and health behavior programs want a program to recoil drunkenness among students or help cognizance pass . But , when it comes to the actual intricacy of the invitee , which requires an effort like alcohol de-addiction or drug de-addiction , Imogene s system seems to be more relevant and respectable . therefrom , this incase study involves a weight chasten program where the support and the invitee together will have to work towards the purpose of weight reduction for a good health taking up a protocol . This is again a time bound military operation towards a common backside finishing quite an than an awareness campaign or a nonher reduction program . Here , in this case the name and address of weight reduction has to be roughlywhathow achieved with active affair of the comfort and the knob together IMOGENE KING S GOAL ATTAINMENT THEORY FOR ACHIEVINGEFFECTIVE behavioural egress IN THE CASE STUDY A shell out for guess is a conceptualization of some grimaces of breast feeding communicated for the purpose of describing , explaining , predicting and or prescribing care for care (Jacqueline , 2001 . These theories of treat render prevails a foundation to understand client situations , organize information and analyze or hold randomness . There theories of nursing help the give understand how the roles and actions of gives are interrelated . Theories focus more specifically on the events and the phenomena of the castigate and are specific enough to contribute to a sound basis of nursing practice . Development of scheme improves nursing science and lots of theories have been laid as foundations of nursing practice . Applications of these theories in practice depend on the awareness , understanding and research on their inter pipelines (Patricia A muck to the highest degree , 2005Theories are the fundamental foundations of the nursing practice nurse has its expostulation body of k instanterledge , which is ! suppositional and practical . The surmise panorama reflects the radical values , guiding principles , elements and phases of a conception of nursing . Practical aspect of nursing is not organized as that of surmise . Practical knowledge depends on nurse s grow in providing patient care . The relationships of components in a theory serve to understand the concept of nursingImogene mogul (Jacqueline , 2001 ) formulated a purpose science theory which focuses on three alive(predicate)(p) interacting systems to wit , personal interpersonal and neighborly systems . According to this theory , a personal relationship occurs amongst the client and the nurse , and this nurse-client relationship is the vehicle for the delivery of nursing care , which is define as a dynamic interpersonal summons (Jacqueline 2001 . This theory emphasizes on the fact that the nurse and the client are unnatural by each other s behavior and it is duty of the nurse to maintain this interperso nal process . power s Goal increase Theory involves a process where the nurse and the patient inversely communicate reading , establish endings , and take action to catch the common concluding stagesThis theory is about the interpersonal process where two people , usually strangers come together in a health care organization to obtain their health final stages . This tendency increase theory is based on personal and interpersonal systems , which includes fundamental fundamental interaction , communication accomplishment , role , stress , maturement and learning , time and space . Goal learning in this pattern is achieved through a terminus-oriented nursing designate , which is composed of quintuplet major elements namely , a database , a problem add up , a oddment list , a image and be on notes . Active participation of the client in the process of goal gravelting and goal consummation are the major strengths of this form . This model framework is useful for nurses in social interactions with clientsThis th! eory is based on the principle that each soulfulness (client brings to an interaction a different set of values , ideas , attitudes perceptions to cardinal and the other person (nurse ) receives this information and processes it . Thus , these two mortals inversely identify goals and the mean to achieve them . In this interaction process they reach an understanding about how to attain these goals and then set about to realize them (Jacqueline , 2001PLANNING AND IMPLEMENTATION PROCESS FOR ACHIEVING tabby s Theory sees an individual as a social , sentient , rational perceiving , haughty , purposeful , action-oriented , time-oriented be who has a right to self-knowledge , participation in decisions that affect tone and health , and acceptance or rejection of health care . The theory sees nursing as a service profession that meets a social need that needs prep , implementing , and evaluation of care (Jacqueline 2001The theory further stresses on the nurse-client overlap infor mation about their perceptions so that if perceptions are similar , then their goals are succeed . Thus , achievement of client goals is possible indoors a social system , which has a common goal (Ruth L .E . Murray , 1996 . Thus the patient was first inform of his wellness score and the risk of diseases due to a pitiable score . He was informed of the possible outcomes of a program that could improve his wellness score . He was asked for his opinion on the recommendations and strategies . He was asked to remove the ones that suited him the best . Active participation of the client in the process of goal setting and goal achievement are the major strengths of this model as discussed (Jacqueline , 2001The health care giver at times recommended what was best for him from a medical point of view , but the patient was the one who always chose his plans . Thus , the common goal (Ruth L .E . Murray , 1996 ) between the nurse and the patient was to achieve a wellness score of 100 by implementation of the following strategies1 .Start a! weight- impairment program2 .lower telephone raise pressure3 .Drive within the speed limit4 .Go for an annual Pap smear5 .Get cholesterin checked6 .Exercise 3 to 5 times a week7 .Reduce the amount of luscious in diet and8 .Reduce smoking and alcohol consumptionStarting a weight- departure programThe weight deviation program options include weight loss pills , weight loss support , surgical weight loss , diet , weight loss programs , hypnosis and physical work out . Of all these physical exemplar and diet are the best options as per client wishes and nurse advice . It is recommended to lose only about 1 to 2 pounds per week to begin withLowering blood pressureBlood pressure chiffonier be move by simple diet habits , which have low cholesterol and moderate salt directs not exceeding 2 .4 Gms of atomic number 11 per day followed by regular physical work up 10-20 minutes everydayDriving within the speed limitDriving within the speed limits reduces the stress and indirectly helps in lowering blood pressureGoing for an annual Pap smearPap smear is done to detect cervical cancer , which is common in women instantly due to conglomerate factors that are carcinogenic . An annual Pap smear assist early detection and thus cancer complicationsGetting cholesterol checkedBlood cholesterol level is an indicator of the health of the cardiovascular system . An change magnitude blood cholesterol level indicates increased risk of marrow attacks . Cholesterol can be controlled by consuming not more than 300 mg cholesterol per dayExercise at least 3 to 5 times a weekRegular exercise helps reduce weight , improves muscle woodland and burns unnecessary calories . Our nonsuch(prenominal) weight depends on age , sex , and height .It is recommended to immingle a healthy diet with a regular exercise program to lose weight .heart . Routine exercise helps use up stored body avoirdupois weight . It also plays a role in reducing the risk of heart diseaseReducing the am ount of fat in dietReduction of fat in the diet inclu! des avoiding junk fare , frequent eating of high fat food , fat rich meat etc .

The amount of saturated fat can be reduced by reducing foods such as fatty meats , dairy products some oils , and egg yolks in the daily diet . The pattern of food that the patient chooses to eat his meals each day is historic .It is recommended to shift the diet menu now and then which is something patients have not been aware of . It is equally all- central(prenominal) to eat foods that can be burnt easily so that the metabolism will on the whole burn them and turn to burning the fat tissueEVALUATION OF THE HEALTH OUTCOME ACHIEVEMENT exploi tation ANAPPROPRIATE MEASUREMENTAll the eight strategies for achieving a high patient wellness score of 100 would be a winner and the appraised age of 34 could be easily achieved . This could be supplemented with a progress notes that has the records of patient weight , blood pressure twain systolic and diastolic Pap smear report , blood cholesterol and profits levels . The data recorded over the effect of the program could be then tabulated to perform a correlativity abbreviation of the data to see a positive coefficient of correlation between the strategies and meliorate wellness score . This Statistical analysis would be a measure of the success of the outcomeEVALUATION OF THE SELECTED THEORETICAL poseur USED TOACHIEVE THE HEALTH OUTCOMEAccording to King s theory , Patient participation with the elements of communication , verbiage , interaction with the nurse is the most important factor , which keeps alive the interpersonal process of personal relationship . This bring s the nurse and the patient to a common goal and both! of them strive to achieve this common goal . This is supported by the strategies , the nurse record of the outcomes and the statistical analysis of the data . The central focus of King s framework is man as a dynamic gay being whose perceptions of objects , persons and events influence his behavior , social interaction , and health HYPERLINK http /www .rno .org /journal /issues /Vol-2 /issue-1 \l King I . M (1971 King , 1971 . King s basic assumption maintained that nursing is a process that involves compassionate for human beings with health being the ultimate goal ( HYPERLINK http /www .rno .org /journal /issues /Vol-2 /issue-1 \l Torres , G (1986 Torres , 1986 . King ( HYPERLINK http /www .rno .org /journal /issues /Vol-2 /issue-1 \l King , I . M (1981 1981 ) viewed perception as the most important protean because perception influences behavior . Thus , the client should be able to distinguish the need for a reduction in weight to last reduce the weight . Interpe rsonal systems involve individuals interacting with one other . This will be possible only with the interactions of the nurse and the client on the outcomes of a program , strategies , time frame place and other aspects . Interpersonal systems thus involve interaction transaction , communication , role and stress as explained by King Communication between the nurse and the client can be both verbal and nonverbal . Verbal exchanges include verbalise and written communication Nonverbal communication includes such things as appearance , distance facial expressions , posture and interest ( HYPERLINK http /www .rno .org /journal /issues /Vol-2 /issue-1 \l Seiloff , C . L (1991 Seiloff , 1991 . Since we are in a high-speed technological world today clients are time-oriented individuals and hence the goals must be attainable without officious with their daily lives if they were to be attained effectively . Thus , goal setting would only be successful if the clients understand that the goals would welfare them This is possible with ! King s theory , which stress on patient participation with the elements of communication , expression interaction with the nurse . It is important for the nurse to understand their client s perceptions , make them understand the goal and make them active participants in the program to attain the goal that needs to be measurable and achievable in 10 weeks . To attain a goal of 30lbs reduction in ten weeks , a specific action plan that includes physical exercise 4-5 times per week for 30 minutes , eat slight carbohydrate will be effective with Imogene s goal attainment theoryCONCLUSIONThus today Nursing is a profession rather than a vocation . Nursing as a profession accounts for its scrupulous , knowledgeable and responsible actions . The profession has extended education avenues , a body of knowledge leading to defined skills , an ability to provide specific service , professional autonomy to make decisions governed by a code of ethics (Patricia A Potter , 2005 . The a priori models have served as frameworks for nursing curriculum and practice by increasing the scientific basis of nursing practice REFERENCEBandura , A (2001 . Social cognitive theory : An agentive perspective Annual clean up of Psychology , 52 , 1-26Glanz , K , Rimer , B .K Lewis , F .M (2002 . Health Behavior and Health Education . Theory , enquiry and exert . San Fransisco : Wiley SonsGraham , S Weiner , B (1996 . Theories and principles of motivation In D . C . Berliner R . C . Calfee (Eds . Handbook of educational psychology (pp . 63-84 . newfound York : Simon Schuster MacmillanHYPERLINK http /www .cdc .gov /nchs /datawh /nchsdefs /healthypeople2010 .htm http /www .cdc .gov /nchs /datawh /nchsdefs /healthypeople2010 .htmJacqueline , The Nurse Theorists-21st century updates , Nursing science quarterly , Volume 14 , 4 311 , 2001King , I . M (1971 . Toward a theory for nursing : General concepts of human behavior . New York : John Wiley sonsMiller , N .E Dollard , J (1941 . Social Learning and Imitation . New Haven , CT : Yale Univer! sity PressPajares , F Schunk , D . H (2001 . Self-beliefs and school success Self-efficacy , self-concept , and school achievement . In R . Riding S Rayner (Eds , Self-perception (pp . 239-266 . capital of the join Kingdom : Ablex PublishingParraga , I .M (1990 . Determinants of Food Consumption . Journal of American dietetical Association , 90 : 661-663Patricia A Potter , Anne wire-haired pointing griffon Perry , bedrock of Nursing , 6th edition , Mosby 2005Ruth L .E . Murray , Marjorie Baier , `King s conceptual framework applied to a transitional accompaniment program , Perspectives in Psychiatric Care Vol . 32 , 1996Schunk , D . H Pajares , F (2002 . The development of academic self-efficacy . In A . Wigfield J . Eccles (Eds , Development of achievement motivation (pp . 16-31 . San Diego : Academic PressSeiloff , C . L (1991 . Imogene king : A conceptual framework for nursing Newbury put , Ca : SageTorres , G (1986 . Theoretical foundations of nursing . Norwalk , Ct Apple ton-Century-CroftsHYPERLINK http /www .HealthStatus .com www .HealthStatus .comPAGEPAGE 12 Personalized general health assessmentPAGE ...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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