1 Running head: Assessment and Diagnosis of Health Promotion

Assessment and Analysis of Health Promotion

Kylie Bouphaphanh

Ferris State University

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ASSESSEMENT AND ANALYSIS OF HEALTH PROMOTION

Abstract

For my assessment and analysis of my health behavior, the health assessment tools that I

used include: Holland Hospital Wellness Program, Real Age, Diabetes, Rheumatoid Arthritis,

Stress, and Nutrition Tests. I have explored each area of the health assessment according to my

needs as well as assessing Gordon’s 11 Functional Health Pattern and incorporated it into my

current health practices. I reviewed my plan of care, decided to follow up with nutritional intake

instead of physical activity and started to record my food intake, using my food pyramid tracker,

(www.foodpyramid.gov).

Keywords: health, tools, assessment, plan, behavior change, life style

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ASSESSEMENT AND ANALYSIS OF HEALTH PROMOTION

Assessment and Analysis of Health Promotionthis course, I thought I was in perfect health and did

not need to make changes in my health behavior. Now I have a better understanding of what it means to live a

healthy lifestyle. I have been eating lots of fruits, vegetables, and fish as part of my diet and incorporating

exercise into my daily routine to relieve stress. In addition, as an employee of Holland Hospital, I’ve been

participating in the Wellness Program which promotes a healthy lifestyle by rewarding employees with a

$150.00 check at the end of March. The Wellness Program includes a laboratory profile, health history, and

sets yearly goals pertaining to areas in which I would like to make improvements regarding my health. My lab

result has been within normal parameter (See Appendix A for lab results),(www.webmd.com).

As I was reviewing the results of my real age test, it exposed many aspects of my

everyday life that would benefit from changes. Upon further analysis, I realized I needed to

improve some of my daily habits regarding nutrition, stress management, toning, stretching,

practicing good oral hygiene, and improving my sleep habits. It was amazing what I found out

about myself! (See Appendix B for test results), (www.realage.com).

Although, the results of the real age test revealed that I am six years younger than my

chronological age, I needed to continue to maintain my current physical activity level in order to

enjoy my current good health. On real age results I have identified many areas needed to stay

healthy. It gave suggestions and helped me plan changes in my health strategy. It was exciting

to take the health assessment test and it made me become aware of the diseases that I might be at

risk for developing. One of the several health assessment questionnaires I took was regarding

diabetes. My father was diagnosed with type II diabetes at the age of 55. The findings indicated

I am at low risk, but it suggested to take the health status for granted. It indicated that I need to

be proactive in preventative measures due to my family history. According to The Health and

Wellness Center, “Because of the rapid increase in the number of cases of type 2 diabetes in

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the United States between 1990 and 2005, the Centers for Disease Control and Prevention (CDC)

now considers type 2diabetes an epidemic. About 20 percent of adults over 65 in the United

States have type 2diabetes as of 2009.” (www.cdc.gov).

I found the health assessment to be interesting, fun and useful. It made me more aware of

many ways to improve my health behavior, such as changing my nutrition to maintain my

current weight as well as managing stress and improving my sleep patterns. I love to eat, and

food is my passion.

The second health assessment questionnaire I took pertains to rheumatoid arthritis. The

results indicated that I am at risk for developing this disease because “two out of three women

develop it and women are more likely than men to develop rheumatoid arthritis.”

(See Appendix C for test results), (www.realage.com). Although, the only risk factor that stands

out is that I am a woman, due to having no family history of the disease, being female makes me

likely to develop the disease at some point. I am, however, concerned about getting rheumatoid

arthritis because I had a bad infection in my feet as child due to walking bare foot in the woods

while escaping from Laos. The infection required treatment for three months before I could start

walking again. As I recall, when I was in my twenties, stress was one of the triggers that caused

my joints to stiffen up. I couldn’t get out of bed. It would cause my shoulders and left knee to

become stiffer and my finger joints to swell. I’ve also noticed that when I’m fatigued, sleep

deprived and eat lots of junk food, I experience pain and swelling in the affected joints.

Although, I was not officially diagnosed by a physician, I have been observing my symptoms

since I first noticed them. Taking this test has convinced me that I have mild rheumatoid

arthritis. I have made adjustment to my nutrition as recommended on, (www.realage.com). I

have started using the food pyramids as a guide to track my meal intake (see Appendix E for

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food intake record), (www.foodpyramid.gov). This is another awesome tool I will use to

improve my dietary behavior since diet is one of the key factors in reducing arthritis symptoms.

I anticipate an improvement in my well being by making appropriate changes. I have identified

certain food items that cause swelling, stiffness, and pain in my joints. Another factor that

affects me is stress. Stress aggravates my joints and decreases my mobility. Inadequate sleep

also leads to an increase in arthritic symptoms.

The other test I took was on the topic of stress. I didn’t realize how stressful my life was

until I took it. It uncovered the areas of my life which stress actually occurred and the symptoms

of stress that I was unaware of. It was an excellent test in revealing that I have adrenal fatigue.

The symptoms are hair loss, acne, irritability and mood swings. The results suggested increasing

my intake of the following; protein, vitamins, calcium and magnesium as well eliminating junk

food from my diet (www.womentowomen.com) and

(www.health.discovery.com/tools/assessement.htlm).

I have learned a lot about myself by using the health assessment tool guide. It enhanced

my ideas of how I need to incorporate Gordon’s 11 functional Health Patterns to my daily

activities:

1. Health Perception/ Health Management. I need this to maintain cardiovascular

activities. As I am assessing Gordon’s data, I need to improve on the following: jogging or

walking, three times a week and add strength training 30minutes three times/week. I have been

keeping up with my annual physical, but I have neglected my yearly mammogram. I will make

an improvement by maintaining the recommended appointment.

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2. Nutritional /Metabolic. I need this to reduce my caffeine intake, take appropriate care

of my oral hygiene and get regular dental examinations as well as any needed follow up

treatments.

3. Elimination. This area is the only area I don’t have much issue, except I usually get up

to urinate at least once at night which oftentimes interferes with my sleep.

4. Activity/Exercise. I am more active in the summer. I like to work in my flower

garden along with going to the beach.

5. Cognitive/perceptual. This area is within normal limits except for occasional bouts of

irritability due to arthritic symptoms.

6. Sleep/Rest. I have tried to make my routine bedtime at 10:30p.m. And limit my wine

intake to weekends only. This is working. I am getting 6-7 hours sleep a night. I feel refreshed

at the start of my day.

7. Self-Perception/Self concept. I generally have a good attitude, but, honestly, it could

be better at times. I make a genuine effort to get along with people and speak my mind in a

polite manner. However, people often times find it offensive.

8. Role/Relationship. I am a proud mother of an eleven year old boy. He is well

behaved, intelligent, easy going and stays out of trouble. Even though I am a single mother, my

family is a great support. I don’t ever feel trapped or overloaded.

9. Sexually/Productive. I gave birth to one child. I’ve never been married. I am taking

birth control to moderate my premenstrual symptoms.

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10. Coping/Stress Tolerance. I’ve been able to manage the stress in my personal life

pretty well. I am financially self-sufficient without any outside support. I have found that work

related stress is greater than stress in my personal life. I have been journaling for a few years to

clear my thoughts.

11. Value/Belief. I believe that I am responsible for my health, attitude, and values. I

need to increase my efforts to address my spiritual needs. I believe I am responsible for my

health and how my health will dictate my daily activities. I believe that I can change the way I

feel by making behavioral changes,

(www.western.cc.ok.us/nursing/Word%20Documents/1119%20Forms/gordon_funct.doc).

Gordon’s functional health pattern is one of the assessment tools that I used to present an

overview of myself holistically. It provided an evaluation of my functional patterns which

assesses many areas. It also supplied me with information about myself which I needed to

modify or make adjustments for a healthier lifestyle.

In conclusion, my wellness diagnosis is behavioral change. My food pyramid tracker

will supply information for me to make a positive improve on my physical well being and mental

status. I am ready to focus on changing my nutritional intake to prevent further joint pain related

to my arthritis and the effects of my adrenal fatigue syndrome (see Appendix A for results),

(www.womentowomen.com). I have incorporated the recommended changes needed to

improve my health. I have also started to use the food pyramid and I am recording my daily food

intake. I am beginning to make a positive change, so I can feel better than ever! (See Appendix

E), (www.mypyramid.gov).

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APPENDIX A

Lab Results from Wellness Program

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APPENDIX B

Real Age Results

REINVENT YOURSELF

Change Your RealAge: The Busy Person's Plan

No time to do your whole age-reducing plan? Drs. Oz and Roizen show you how to keep it easy and fun. More »

Hi, kyliepb05@tds.net! What's My RealAge?» Calendar Age

42.8 Difference

-5.9 RealAge

36.9

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ASSESSEMENT AND ANALYSIS OF HEALTH PROMOTION Joint pain began slowly, over the course of months. Generally f

Small nodules or lumps underneath the skin in areas that receive pressure.

APPENDIX C

Rheumatoid Arthritis Results

Joint pain began at age 23. Rheumatoid Arthritis:Results

We've put together the following recommendations based on the information you provided in the RealAge Rheumatoid Arthritis Health Assessment.

Remember, each situation is unique, so it's best to work with your healthcare provider to adjust these recommendations to best suit your particular health needs. Print a list of your risk factors and symptoms and

discuss them with your doctor.

Your Risk Factors

Being female: Women are two to three times more likely than men to develop rheumatoid arthritis.

Learn more about the causes and risk factors of rheumatoid arthritis.

Your Symptoms

Pain, swelling, warmth, or stiffness in a few joints.

Joint pain began slowly, over the course of months.

Affected joints are swollen.

Swelling feels soft or fleshy (not like bone).

Joint stiffness lasts less than 15 minutes of the day.

Joint pain began at age 23.

Generally feel a little depressed.

Small nodules or lumps underneath the skin in areas that receive pressure.

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APPENDIX D

Adrenal Fatigue Syndrome

me: kylie bouphaphanh

Date: 02/14/2010

Your profile results:

Your symptoms rank in the moderate to severe category.

The demands you place on your body are moderate.

By comparison, the support you give yourself is good.

What your profile means:

MODERATE to SEVERE symptoms mean you are in the midst of adrenal fatigue and imbalance. These days, most women

experience high levels of stress, which can cause the adrenals to create excessive amounts of the hormone cortisol,

leading to months or even years of symptoms like fatigue, mood swings, and weight gain. Once you make the dietary

and lifestyle changes necessary to heal your adrenals, you should naturally see a decrease in of these symptoms.

MODERATE demands mean that the burden on your body is about the same as what most women experience— more

than the body was designed to handle! In today’s fast paced world, women are mothers, caretakers, professionals,

volunteers and more. Some of the demands you experience are not within your control, but it’s important to minimize

those that are. In the meantime, you need to give your body extra support to counter these demands. Minimizing

demands and increasing supports play a key role in achieving and maintaining adrenal health.

GOOD support means that you are giving your body a lot of the support it needs for adrenal health, but you still have

some room for improvement. We commend your efforts and encourage you to continue looking for ways to improve

your health and well-being. With a little more support, we’re confident you can fully resolve your symptoms and protect

yourself from future adrenal imbalance.

Our natural approach to healing your adrenals

Follow a balanced eating plan: The foods you eat have a profound impact on your adrenal glands. In order to keep your

adrenals healthy, and keep you free from fatigue, we suggest the following eating guidelines:

Eat adequate protein at every meal.

Eat within an hour of waking.

Eat healthy fats.

Eliminate all "white" food – refined sugar, flour, and grains.

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APPENDIX E

Intake Results

Nutrient Intakes For kyliepb05 on 2/15/2010

A nutrient recommendation is a target or goal for intake of a nutrient. Your requirement for a

particular nutrient is unique to you, but it is likely to be lower than the recommended number. If

your intake is at or above this number, then it is probably adequate. If your intake is below this

number, that does not necessarily mean an inadequate intake. If today's intake is typically what

you eat, and your intake for a nutrient is at or above the recommendation, it is likely that your

intake of that nutrient is adequate. To better assess your usual nutrient intake, you should report

foods eaten for two or more days and review your nutrient intake over time. Click here if you want

to see your nutrient profile with technical assessment information.

Nutrient Your Intake Recommendation or

Acceptable Range

Food Energy/Total Calories (kcals) 2385 1709

Protein (gm) 75 46

Carbohydrate (gm) 326 130

Total Fiber (gm) 31 25

Total Fat (gm) 97.2 53 - 92.8

Saturated Fat (gm) 22.4 < 26.5

Monounsaturated Fat (gm) 43 **

Polyunsaturated Fat (gm) 25 **

Linoleic (omega 6) (gm) 23.4 12

Alpha Linolenic (omega 3) (gm) 1.1 1.1

Cholesterol (mg) 107 < 300

Vitamin A (mcg RAE) 347.6 700

Vitamin C (mg) 237.9 75

Vitamin E (mg -TE) 13.3 15

Thiamin (mg) 1.7 1.1

Riboflavin (mg) 1.6 1.1

Niacin (mg) 23.3 14

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Vitamin B6 (mg) 1.6 1.3

Vitamin B12 (mcg) 2.7 2.4

Calcium (mg) 840.1 1000

Phosphorus (mg) 1639.5 700

Magnesium (mg) 494.1 320

Iron (mg) 15.4 18

Zinc (mg) 11.9 8

Selenium (mcg) 102.7 55

Potassium (mg) 3438 4700

Sodium (mg) 3043 1500 - 2300

Foods Consumed Select Serving Size

Number of Servings (Enter a number

(e.g. 1.5))

AMERICAN & SWISS CHEESE, PROCESSED Don`t Know

1

APPLE (APPLES), FRESH 1 small (2-1/2 dia) (approx 4 per lb)

1

BAGEL 1 small (mini) (2-1/2" or less dia)

1

BANANA (BANANAS), FRESH 1 small (6 to 6-7/8 long)

1

CHOCOLATE CANDY, SWEET OR DARK 1 bar (1.45 oz)

1

COFFEE & COCOA (MOCHA), W/ WHITENER,

PRESWEETENED 1 fl oz

1

COFFEE MATE 1 cup

1

COFFEE, DECAFFEINATED, MADE FROM

GROUND 1 mug (8 fl oz)

1

ORANGE, FRESH 1 small (2-3/8 dia)

1

PRETZELS, CHEESE-FILLED (COMBOS) 10 combos

1

SPAGHETTI SAUCE W/ MEAT, CANNED 1 cup

1

SPRITE 1 can or bottle (16 fl oz)

1

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References

http://www.realage.com/ralon/qa/HI.aspx

http://www.nhibi.nih.gov/health/index.htm#tools

http://www.healthline.com/tools/risk

http://www.discovery.com/tools/assessments.html

http://www.western.cc.ok.us/nursing/Word%20Documents/1119%20Forms/gordon_funct.doc

http://www.womentowomen.com

http://www.foodpyramids.gov

http://www.ahrq.gov/clinic/cvd/cholepatient/html

http://www.webmd.com

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