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  • Care Plan Howard Derby

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    The patient is a 35-year-old male who cares for his newborn baby during the week. He has a family history of heart disease, diabetes, hypertension and obesity. An assessment found the patient is overweight, stressed, and has difficulty sleeping. A care plan was developed to address weight loss, reduce heart disease risk, and provide resources like martial arts gyms and meal tracking apps. The patient was motivated to make lifestyle changes to lose weight and prevent health issues shown in his family history.

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    The patient is a 35-year-old male who cares for his newborn baby during the week. He has a family history of heart disease, diabetes, hypertension and obesity. An assessment found the patient is overweight, stressed, and has difficulty sleeping. A care plan was developed to address weight loss, reduce heart disease risk, and provide resources like martial arts gyms and meal tracking apps. The patient was motivated to make lifestyle changes to lose weight and prevent health issues shown in his family history.

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    140 views4 pages

    Care Plan Howard Derby

    Uploaded by

    api-458055311
    The patient is a 35-year-old male who cares for his newborn baby during the week. He has a family history of heart disease, diabetes, hypertension and obesity. An assessment found the patient is overweight, stressed, and has difficulty sleeping. A care plan was developed to address weight loss, reduce heart disease risk, and provide resources like martial arts gyms and meal tracking apps. The patient was motivated to make lifestyle changes to lose weight and prevent health issues shown in his family history.

    Copyright:

    © All Rights Reserved
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    of 4

    Care Plan Howard Derby

    Care Plan

    By Howard Derby

    Delaware Technical Community College

    August 2, 2019

    1
    Care Plan Howard Derby

    Introduction

    The patient is a 35-year-old male who has a three-month-old newborn baby he

    currently stays at home with during the week while his wife works. He is overweight and

    has family history with heart disease. A thorough health history and assessment were

    conducted where the patient reports difficulty sleeping, and a desire to lose weight.

    Additionally, he reports significant stress related to his newborn baby and work

    environment. His health history assessment revealed a family history of diabetes,

    hypertension, heart disease and obesity. After a thorough assessment of the patient was

    completed, a plan of care was developed to address concerns and promote prevention of

    disease processes revealed in his family history.

    Assessment & Plan of Care

    Weight

    Patient reports having an eating addiction and struggles with his weight. Patient

    has been overweight most of his life and states his family members have struggled with

    obesity. During the assessment the patient points to childhood factors that caused weight

    gain, specifically family eating dynamics and his inability to control portions. Some

    suggested remedies include measuring meals, making more nutritious choices, and using

    internet resources to assist with planning his diet. It was also suggested that he join a

    gym or participate in a sport. During the assessment, the client expressed a desire to join

    a martial arts gym and use a phone app to help him manage meals. The patient was

    provided internet resources of martial art gyms, sports teams in Delaware and phone apps

    that track meals and food intake.

    2
    Care Plan Howard Derby

    Risk for Heart Disease

    The patient states he lost both grandfathers to heart disease and his father

    currently suffers from diabetes. The patient is overweight and wishes to address his

    weight with his risk in developing heart disease and/or diabetes. Further, the patient feels

    he is addicted to eating and will have a difficult time changing his behaviors. Though, the

    patient is willing to make changes as he now has a baby boy and wants to live longer.

    The patient currently has a healthy attitude and motivation toward changing his diet and

    exercising. He was provided with information pertaining to hypertension and encouraged

    to continue follow ups with his physician to monitor his blood pressure and maintain age

    appropriate screenings.

    Conclusion

    The patient seems to want to make positive changes towards losing weight and

    reducing his risk for heart disease. He displays a willingness to use the information

    provided to make life changes. With the lack of sleep and more stress involved with a

    new baby, a healthy behavior to mediate his risk for heart disease is crucial. Eating

    healthy and less can also reduce the risk of diabetes. The patient understands his current

    and potential health complications and is motivated to change his lifestyle. The patient

    appreciated this assessment and will follow the plan of care as close as possible.

    3
    Care Plan Howard Derby

    References

    Care givers for children, elderly, pets, housekeeping and businesses. Retrieved from

    https://www.care.com/

    Delaware Sports League. Retrieved from http://www.delawareleagues.com/

    Jack’s Kickboxing and Martial Arts Gym. Retrieved from https://jkbgym.com/

    My Fitness Pal phone app. retrieved from https://www.myfitnesspal.com/

    Office of Disease Prevention and Health Promotion. (2019) Heart Disease and Stroke.

    Retrieved from https://www.healthypeople.gov/2020/topics-

    objectives/topic/heart-disease-and-stroke and

    https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-

    of-health

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