PERSONAL PLAN AND EVALUATION

A coaching plan with an emphasis on prevention of chronic disease integrative healthcare methods and lifestyle changes are necessary for this client because of the danger of poor weight management. Therefore the model that will be implemented for this patient will include using motivational interview styles, visits to monitor the client’s progress and holistic strategies that will help the client to have a sustainable and reliable weight management strategy. As a nurse, I will be expected, according to the health needs of this client, to conduct follow-up meetings, avail myself as a reliable health consultant for the patient and to monitor his or her progress towards achieving his or her goals as far as weight management is concerned. The essential part of the intervention plan for the patient’s weight management is to educate the patient on the risks of poor weight management, and in essence, the dangers of being overweight.

The client will also receive information on the risks associated with using methods of weight loss that do more harm than good for the body. For instance, health targets for the client will include fasting blood sugar of less than 100 mg/dl, high density lipoprotein counts of at least 40 mg/dl for a male and 50 mg/d for a female, blood pressure levels of less than 120/80 mmHg, a BMI of between 18 and 23, triglyceride levels less than 140 mg/dl and low density cholesterol levels of less than 90 mg/dl. After agreeing to the health goals set to be achieved through the intervention plan, the next step would be take the client through the strategy to be used and to agree with the client on the timelines, schedules and changes to be included in the patient’s lifestyle and diet program in order to achieve weight loss to appropriate levels.

Therefore, I will analyze what the patient has already been doing and establish why some weight management measures were not effective and together with the patient, develop a better weight management strategy. The intervention will include health education sessions with the patient where different methods shall be used to teach the client on effective weight management through a variety of methods. For example, changes will be made to the client’s diet plan to include at least 25 grams of fiber every day from fruits, whole grains, and vegetables. The educational resources that will be included in the coaching of the patient back to proper health will include books, pamphlets, internets sources and audio-visual material that addresses the development of a physically active lifestyle, maintenance of proper weight, nutrition details on weight loss through diet, stress management and on how to stay motivated.

These resources will not only be used to compliment the nurse coaching sessions but will also be shared with the client. Health education sessions with the client could take about 60-90 minutes spread out over a period of 10 weeks. Evaluation This holistic intervention is likely to assist the client in avoiding health risks associated with being overweight and obese. The holistic approach to the client’s weight problem is also likely to improve other aspects of the client’s health like his or her emotional and mental health. References Campbell, T. C. , & Campbell II, T. M.  The China Study: Revised and Expanded Edition: The Most Comprehensive Study of Nutrition Ever Conducted and the Startling Implications for Diet, Weight Loss, and Long-Term Health.