Health Promotion Assignment
Use the nursing process to develop a health promotion plan of care for a community client in one of the following age groups: infant (1 month to one year); toddler (1–3 years); preschooler (3–6 years); school age (6–12 years); older adult (>60 years). Selecting an adolescent age group (13–18 years) is also permitted with prior faculty approval.
Assignment Description
For this assignment you are asked to identify an infant/child or an older adult who will serve the role of a client. Using a variety of course resources, you will conduct a complete health history, a general survey, and optionally a vital signs measurement on this client. Your meeting with the client can be virtual (i.e., Zoom) or in–person; phone calls are not appropriate.
After completing the assessment, you will use the findings to create a developmentally appropriate, evidence–based health promotion care plan. You will also reflect on the therapeutic communication techniques used during the interview, as well as address one motivational or adherence theory to promote successful achievement of the outcomes.
Anticipated time commitment (preparation and execution) for this assignment is approximately 8–10 hrs.
Steps for Completion:
Use the Health Promotion Template for your documentation. Note that you will need to expand each box in the Word doc to fit the contents of your write up. Remember not to leave any segment blank (blank means that information was not collected – e.g., client does not recall past birth history). You also need to submit the completed assignment in Word doc into Canvas by the designated deadline.
Section A: Obtain a verbal consent from your client prior to your scheduled meeting date by disclosing the following: a) description of the project, b) what to expect on the day of the visit, including time commitment and the nature of the assessment, c) the limitations of your scope and role, and d) an assurance of anonymity. You must always provide your client’s initials in the write–up to maintain your client’s anonymity. Document your responses in each respective box.
Section B: Using clinical terminology, provide a detailed description of the health history assessment findings. Important: You must show evidence of deep understanding of the course content. Use all resources at your disposal to build your answers (i.e., Ch. 1, 2, 4, 7, 18, 19, and 21 of your textbook, relevant pre–recorded lectures and other instructional activities posted on Canvas). You can use the
textbooks of other nursing courses (e.g., Nursing Diagnosis Handbook).
Section C: Anthropometric measures can be obtained subjectively. Use a BMI calculator specific to pediatric or geriatric clients.
Complete a comprehensive general inspection that addresses 1) appearance, 2) body structure and position, 3) body movement, and 4) emotional status, disposition, and behavior. Use clinical terminology to document your findings. Vital signs measurement is optional. Use at least two screening tools in your assessment; see below for some suggested options.
Screening tools for geriatric clients: Screening tools for pediatric clients:
CDC Developmental Milestones
Yesavage Geriatric Depression Scale
Katz Index of Independence in Activities of Daily Living
Johns Hopkins’ Fall Risk Assessment Tool
Morse Fall Scale
Mini–Mental State Examination (MMSE)
The Alcohol Use Disorders Identification Test (AUDIT)
CDC Developmental Milestones
Denver Development Screening test
Guidelines for Adolescent Preventive Services (GAPS)
Section D: Provide a detailed description of 1) the expected development for your client’s age group, as well as 2) the assessment findings specific to your client. Based on Erikson’s or Piaget’s Theory, state your client’s developmental stage with the expected development for that stage. Compare your client to these milestones and address any noted discrepancies/delays. Ground your responses in the relevant textbook chapters, Canvas module resources, and selected outside sources.
Identify one motivation or adherence theory and describe how you would apply it to secure full cooperation from the client and meet the care plan goals. Examples include: Maslow’s Hierarchy of Needs, Theory of Self–efficacy, Adherence & Concordance, and Self–determination Theory of Motivation. See pre–recorded lecture for additional information.
Describe the specific therapeutic communication techniques used during the interview, along with an evidence–based rationale.
Describe the ways in which you altered the interview based on the age and developmental stage, functional and neuro–sensory status of the client.
Section E: After analyzing the assessment findings from the previous sections, identify one health promotion problem that your client has or is at–risk for developing. Complete a brief research on the selected topic and write up your findings to include overview of the problem, its significance (provide data to support), and risk factors. Identify the prevention level most appropriate for your client and list the preventive strategies to address the problem.
Pediatric Clients Geriatric Clients
Health
Promotion Topic
Examples
Injury prevention (i.e., safety, poison control), physical activity
(bike helmets, seat belts), nutrition counseling (dental health,
sugar intake, weight), vaccinations, hearing and vision, blood
pressure, depression, substance abuse.
Promoting physical activity, prevention of falls
and fall–related injuries, caregiving support and
resources, early screening for chronic illnesses,
managing cognitive health.
Suggested
Sources for your
Research
American Academy of Pediatrics
Center for Disease Control and Prevention (CDC)
Healthy People 2030
National Institute on Aging, Mayo Clinic
Center for Disease Control and Prevention
(CDC)
Section F: Write one complete nursing diagnosis (problem statement, etiology, and defining characteristics) that addresses the health promotion topic for your client and one SMART goal. List as many interventions as appropriate, making sure they are both evidence based and individualized. For each intervention, list the question(s) you will ask to evaluate its effectiveness. Add more rows if you need to list more interventions.
Nursing Diagnosis Examples
Problem–focused Sleep deprivation r/t aging–related sleep–stage shifts aeb fatigue, irritability, and altered concentration
At risk Risk for fall r/t impaired mobility
Health promotion Readiness for enhanced nutrition aeb willingness to change eating patterns and eat healthier foods
