Personal Action Plan

For this assignment, you will develop a Personal Action Plan for the client avatar in the attached document. Taking into account the client’s health risk(s), diagnosis, psychosocial factors, and confidence in his/her ability to change, outline the specific steps you would implement to promote behavior change.

Goals: Select one behavior that your client would like to change, and list five S.M.A.R.T. goals that are specific, measurable, attainable, realistic, and trackable for behavior change. State how these goals can help improve the client’s mental/physical health and build confidence in reaching his/her goals. Consider ethical issues that you may encounter during the development of these goals.

Barriers: Assess psychosocial factors that may influence the client’s health, wellness, and treatment. Be sure to list physical, social, moral, cultural and/or economic barriers that may inhibit the client from achieving goals.

Strategies to Address Barriers: Apply three counseling techniques and three motivational interviewing strategies to help the client overcome barriers to change. At least one of the counseling techniques must be implemented in a group setting. Next, compare and contrast three behavioral change theories/models, and explain how these approaches can strengthen the client’s emotional and physical well-being. Support your response with at least three peer-reviewed articles from the attached annotated bibliography.

External Support: Discuss how you would incorporate the client’s family, spouse, or caregivers into the action plan. Next, identify three individuals to be a part of your client’s care team. Begin by assigning roles and tasks to each team member. State the method in which you will communicate with each other, and how frequently you will interact. Explain how you might engage an entire practice team in supporting the client from a systemic perspective. Cite at least one peer-reviewed source from the attached annotated bibliography.

Follow-up Plan: Describe how you will follow-up with the client to sustain healthy behaviors between visits and after termination. Recommend two social and/or environmental resources (e.g., peer-led groups, patient education classes) for ongoing support. Justify your recommendations with at least one peer-reviewed source from the attached annotated bibliography.

The paper

Must be seven to eight double-spaced pages in length (not including title and references pages) and formatted according to APA style.

Must include a separate title page with the following:

Title of paper

Student’s name

Course name and number

Instructor’s name

Date submitted

Must use at least five scholarly sources in addition to the course text.

Must document all sources in APA style.

Must include a separate reference page that is formatted according to APA style.

Running head: DIABETIC PATIENT

1

DIABETIC PATIENT

1

Counseling Session: 1-Diabetic Patient

Diabetic Patient

Names: James Anderson

Man Smiling Behind Wall

Age: 35 years old

Gender: Male

Race: white

Marital status: Divorced

Occupation: Unemployed

Sexual orientation: heterosexual

Language: English

Religious: Christianity

Location: Brooklyn, NY, USA

Symptoms and Diagnosis

Recently, Mr Anderson has been complaining of his stomach after every meal. The patient has a breathing problem. He indicates that he has difficulty in breathing. Besides, his breath always smells like fruit. Additionally, Mr Anderson has been sweating more often even in cold days and urinates a lot. He also has a flushed face, and his mouth and skin are always scaly. Mr Anderson has a higher blood sugar level. He has 8% A1C level. The blood sugar level of this patient is 205mg/dl.

Psychological Factors

Three years ago, Mr Anderson divorced his wife due to interpersonal differences. The wife complained he had increased his alcohol intake. Also, Mr Anderson was frequently getting into a war with his wife while drunk. Besides, last year, this patient was restricted from ATD disease/ his doctor also reported that he had been suffering from BA and vitiligo. Last month, I treated Mr Anderson for autoimmune thyroid disease. Additionally, Mr Anderson has lost hope in life and is suffering from psychological and low self esteems. The patient’s mother, Mrs Jordan, who brought him to the hospital, has indicated that his son has passed through a stressful life event. His father abandoned them while he was six years old, and he was usual bullied as a teenager.

Special Consideration

Mr Anderson has been suffering from heart disease form three years now besides he can’t see clearly and seem to have lost his gearing capability. He has a wound on his feet that has refused to heal. He is also a heavy drinker, and he relies on alcohol to relieve his depression regarding the loss of his family and lost his job. Mr Anderson is an introvert person who has no friends and always lives lonely lives. The only friend he had was his dog that his son killed. Mr Anderson his jobless because he lost his job six months ago. His house got burnt with all of his properties four months ago after electric default in his home. Currently is leaving with his mother and stepfather who despise him.

Assessment

Mr Anderson is aware of his low self-esteem, and that is why he indicated that he consumes alcohol to gain confidence. However, he does not know that he has developed type one diabetes. He noted that he had a kidney problem due to his heavy drinking and frequent sweating and urinating; however, after I conducted a diagnosis in him, I told him that he has type one diabetes. At first, he was confused, and he thought it was the end of the world for him. However, after the counseling process, he promised to stop his alcohol consumption, increase his interactions with people in a social setting, and take his insulin to help him live a healthier life.

Brief Transcript

COUNSELOR: Hello, I am Neicey, I’m am your counselor

CLIENT: Hi, I’m James.

COUNSELOR: How are you feeling today?

CLIENT: I’m feeling okay, I guess.

COUNSELOR: It’s alright to feel okay. How are you feeling about this new experience of being able to speak with someone that is only here to help guide you through those okay days and get you to more days that are great?

CLIENT: I am actually quite nervous. I’m not used to sharing my thoughts or feelings with anyone.

COUNSELOR: Well I am here not to tell you what to do, how to feel, or what to think. I am here to help you process things, make healthy decisions for yourself, and teach you how to cope with everyday issues/decisions that you may struggle with. Are you okay with that?

CLIENT: Yes, I guess.

COUNSELOR: Okay great. So, what has your day been like so far today?

CLIENT: Well I woke up and didn’t really see the point in getting out of bed but I did. I had a few drinks before coming here to see you.

COUNSELOR: Thank you for sharing that with me and for filling out the self-assessment questionnaire before meeting with me today. Well that is a great thing that you chose to get out of bed even though you didn’t feel like it. Why did you choose to drink before coming here?

CLIENT: Well, it makes me feel less sad and helps me deal with everything.

COUNSELOR: So to start off with for our next session, try to have a glass or two of water when you wake up instead of alcohol. I mean you have already taken much effort to come and see me today. So, I’m going to challenge you to that for our next session.

CLIENT: Okay I can try to do that.

Importance of Primary Counselling Skills

Applying necessary counseling skills helped me in interacting with this patient. It enables me to create a conducive atmosphere for Mr. James to be free and open with me. It is essential to lead the client and address assumptions initially and plan for the termination in the initial sessions. This allows the patient to build trust leading the client to help a counselor to prioritize his questions and look for a particular answer during the counselling process (Dollarhide, Shavers, Baker, Dagg, & Taylor, 2012). Additionally, counsellors are required to address assumptions to allow them to come up with a proper medical diagnosis.

Health Behavior Measurement

I used a self-report model to gather information regarding the client overall wellness and health. I used this model because he allowed me to conduct a poll administer questionnaire and survey by asking the client to tell me about his believes, attitudes and well-being (Kessler & Alverson, 2013). I use a specific format to facilitate client self-exploration. I began by asking the patient about his demographic, skill, behavioral factors, environmental factors and health factors (Kessler & Alverson, 2013). This method was essential in the self-exploration of the patient.

References

Dollarhide, C. T., Shavers, M. C., Baker, C. A., Dagg, D. R., & Taylor, D. T. (2012). Conditions that create therapeutic connection: A phenomenological study. Counseling and Values57(2), 147-161.

Kessler, T. A., & Alverson, E. M. (2013). Influence of lifestyle, health behavior, and health indices on the health status of underserved adults. Journal of the American Association of Nurse Practitioners25(12), 674-681.

Running Head: Annotated Bibliography on diabetes care 3

Annotated Bibliography- patient recommendation Plan

Introduction

Just like any other patient e.g. the cancer patients, diabetic patients require a lot of care and support not only from medical personals but also their families and the community at large. Recent studies have shown that diabetic cases are increasing in the country, this mean that a lot of attention has to be focused on how the patient can get maximum care and control measure. This paper present scholarly articles that can help in developing SMART care plan for diabetic patients.

Castro, E. M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W., & Van Hecke, A. (2016). Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient education and counseling99(12), the article evaluates the basis of patient care basing on three concept which revolve around effective patient care which are the concept of patient care as being patient centered, patient participation and patient empowerment.. According to the authors, this three concept despite being introduced within the medical field, their precise meaning and understanding remains unclear. The article concludes that concept of empowering patients is more important and wide more than participation and being centered.

Chen, L., Pei, J. H., Kuang, J., Chen, H. M., Chen, Z., Li, Z. W., & Yang, H. Z. (2015). Effect of lifestyle intervention in patients with type 2 diabetes: a meta-analysis. Metabolism64(2), 338-347. The authors look at the factors associated with the current life and how they relate directly or indirectly to patients suffering from diabetes. They also analyze the impacts of changing life on clinical aspect as far as diabetic care is concerned. The articles through Meta -analysis concludes that intervention on life has important benefit in controlling factors that are associated diabetic and other cardiovascular diseases.

American Diabetes Association. (2015). 4. Foundations of care: education, nutrition, physical activity, smoking cessation, psychosocial care, and immunization. Diabetes care, 38(Supplement 1), S20-S30.: the website outlines key factors that are important in successful care for patient with diabetic issues, the association focuses on self-care, support and education on diabetes. According to the website, diabetes self-care (management) education, (DSME), together with DSMS (diabetes self- management support) should be given to diabetic patients.

Simmons, L. A., Wolever, R. Q., Bechard, E. M., & Snyderman, R. (2014). Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome medicine6(2), 16. The article thoroughly reviews the connection that is between the engagement of patients and results on health care in relation to chronic issues, the authors try to understand if there is need for patient’s engagement classified as a critical factor in health care as a way of controlling risks and improve individualized medical practice. The author conclude that quantification of patient engagement as one of the inclusive health risk evaluation is important because of its effectiveness in assisting patients.

Young-Hyman, D., De Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes care39(12), 2126-2140. The article gives a guideline to diabetic care through psychological evaluation together with care for PWD including their families, the recommendation by the authors focus on clinical methods, the consensus of experts together with interventions that have been tested, considering resources that are available, the burden on practitioners and patterns of practice. The authors conclude that basing on the life duration associated with chronic diseases, it is important to consider psychological factors in medication.

References

Young-Hyman, D., De Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes care39(12), 2126-2140.

American Diabetes Association. (2015). 4. Foundations of care: education, nutrition, physical activity, smoking cessation, psychosocial care, and immunization. Diabetes care, 38(Supplement 1), S20-S30.:

Castro, E. M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W., & Van Hecke, A. (2016). Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient education and counseling99(12),

Chen, L., Pei, J. H., Kuang, J., Chen, H. M., Chen, Z., Li, Z. W., & Yang, H. Z. (2015). Effect of lifestyle intervention in patients with type 2 diabetes: a meta-analysis. Metabolism64(2), 338-347.

Simmons, L. A., Wolever, R. Q., Bechard, E. M., & Snyderman, R. (2014). Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome medicine6(2), 16.

 
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