Natalies Spiritual and psychological

inventory patient Assessment

Natalies

Health and Wellness

Analysis
Kaplan 2013
 Natalies Spiritual and psychological
inventory patient Assessment

The purpose of this Analysis is to ultimately prescribe and exercise

prescription based on the client Natalie Morris-Young individual health status
and personal goals. The client is a healthy 32 year old female, of Jamaican
heritage, 188 lbs, 5ft 2in. She is a mother of two; her youngest is 7months
old and eldest child is 11years old and married. She has been a Healthcare
worker for 5years and classifies herself as a non- smoker.

The clients medical history consists of two cesarean sections, 2 diagnostic

endoscopy 10 years apart, and a fibrotic biopsy from the left breast. The
client discovered fibrotic tissue through self-exam. The client was diagnosed
with acid reflux through first endoscopy procedure. Last was scheduled
Cesarean performed October 16, 2013.

Risk factors for clients are identified through her diagnosis of acid reflux,
high Body mass index > 30, med to low level of physical activity transitional
diet changes. Her challenges with food choices are due to her cultural
challenges. Her husband refuses to convert to American diet and insist on
eating spicy greasy but generally healthy cuisine.

Client stratifications for her diet is her family loves fish and vegetables and
rice. The healthier alternative is to separate her portion of curry or jerk
chicken prior to the addition of bonnet peppers and replace the rice with
salad. She has also switched to organic coconut cooking oil. Client states
her orders from her doctor are solely diet and nutrition choices. Client is to
avoid alcohol, acidic, greasy and spicy foods. As well as avoiding tight fitting
clothes especially in the waist and abdominal areas. Also it is advised to not
lay flat or go to sleep after eating.

Client has been prescribed Prilosec however client is non-compliant to

medication usage. Client states she would rather change her diet than
ingest side effects that will affect other healthy organs. This is a prime
example of how significant individuals careers affect their lifestyle and
health. In her experience as a healthcare worker she has witnessed multiple
patients who have accumulated health issues as the prescribed medication
list has also accumulated. This is influencing her noncompliance to
prescribed medications.
 Natalies Spiritual and psychological
inventory patient Assessment

Fitness testing that the client was able to do herself were timed intervals on
a treadmill for 20 min while monitoring heart rate. Also, the client can
assess her fitness through her flexibility. Client is able to touch toes while
sitting on the ground feet fully extended. This is necessary due to her body
type which is an apple shape which is a term used by client to express where
her fat is predominantly stored in the upper body.

Considering the clients health status and personal goals the goal of this
exercise prescription is to build endurance and consistency. The client will
perform a squat challenge for 21 days increasing by intervals of 5. The
client will perform each day for 20 minutes of activity ranging from walking
and running. All of these will prepare her for a more depth fitness routine.
This is necessary due to her body type which is an apple shape which is a
term used by client to express where her fat is predominantly stored in the
upper body.

At her gym there are personal trainers that can be a leader in her pursuits to
achieving her goals. One of the suggested plans that the trainers offer is to
meet with the client once a week for thirty minutes and complete and
demonstrate how to do the exercises for her individually.

The client states that achieving her goal of endurance and consistency will
benefit her personally, financially, and also in her Career. Her insurance
supplied through her job has a wellness program that decreases their rate.
Wellness Programs are organized efforts by employers who provide health
insurance to their employees to reduce costs, both from illness and
absenteeism, by encouraging employees to adopt healthier lifestyles and,
more specifically, to address behaviors or inherited characteristics which put
them at greater risk for illness than the general population. These programs
typically target behaviors like quitting smoking, losing weight, and lowering
blood pressure and cholesterol. (Bard, 2011) Most of all reduced sedentary
behavior could be independent factors that reduce or prevent
obesity (So,2013)
 Natalies Spiritual and psychological
inventory patient Assessment

Reference Page

Bard, J. S. (2011). When Public Health and Genetic Privacy Collide: Positive and Normative Theories
Explaining How ACA's Expansion of Corporate Wellness Programs Conflicts with GINA's Privacy
Rules. Journal Of Law, Medicine & Ethics, 39(3), 469-487. doi:10.1111/j.1748-720X.2011.00615.x

So, W. (2013). Physical Activity and Sedentary Behavior's Association With Body Weight in Korean
Adolescents. International Journal Of Sport Nutrition & Exercise Metabolism, 23(1), 1-10.