Health Promotion Plan - Potential Stressors

By Antonio Hunter,2014-05-20 10:45
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Anxiety; Stress overload; Ineffective coping; Health-seeking behaviors. Ineffective infant feeding pattern; Imbalanced nutrition: Less than body

    Applying the Nursing Process to Stress, Nutrition, and Exercise

    Across the Lifespan

    Nursing 270 Health Assessment and Promotion

    Health Promotion Project

    Fall 2008

    Suzanne Brydges

    Identification of Potential Health Damaging Behaviors Potential Stressors Potential Nutrition Potential Exercise/Activity

    Needs/Issues Needs/Issues ? Hunger ? Adequate nutrition, weight ? Tummy time Infant

    ? Feeling insecure gain after birth ? Reaching physical ? Fear, startle response, loud noise ? Jaundice, colic issues developmental ? Physical needs unmet i.e.: cold ? When to start solids milestones- sitting up,

    or wet ? “Baby bottle teeth” crawling ? Lack of stimulation ? Breastfeeding vs. Formula ? Limit time in ? Pain ? Potential allergies swings/bouncy seats

     ? Games

    ? Movement activities ? Separation anxiety ? Introducing new foods ? Walking-falling? Toddler

    ? Fear ? Choking hazards ? Outdoor playtime ? Sharing issues “mine” ? Allergies ? Gross motor ? Sibling rivalry ? Picky eaters development ? Pain ? Well balanced diet ? Interaction with other ? Neglect ? Socialization with meals- children

    introducing manners ? Games/fun ? Separation anxiety ? Picky eaters ? More time outside, less Preschool

    ? Control issues- need for more ? Healthy snacks and meals time watching TV Child autonomy/independence ? Socialization with meals ? Gross motor ? Pain ? Continuing to offer new development ? Nightmares, other fears foods ? Strength development ? “Fitting in with friends” ? Adequate fruits, vegetables, ? Coordination/balance ? Learning protein and vitamins and development

     minerals ? Initiating life long

    healthy habits ? Friend issues ? School lunch ? Team sports School Age

    ? Pain ? Dinners on the go ? Recess Child ? Death of family members/pets ? Sports nutrition ? Healthy competition ? Parents divorce ? Adequate breakfast ? Developing lifelong ? School- productivity ? Obesity in childhood exercise habits

    ? Preventing obesity

     Potential Stressors Potential Nutrition Potential Exercise

    Needs/Issues Needs/Issues ? Fitting in with peers, peer ? School lunch/snacks ? School sports participation Adolescent

    pressure ? Autonomy in food choices- ? Amount of TV, sedentary ? Autonomy junk food? activities ? Depression ? Sports nutrition ? Work cutting into Physical ? School/work ? Eating disorders activity time? ? Pain ? Obesity ? Developing life long ? Death of friends or family ? Family meals, meals on the go exercise habits

    ? Obesity prevention ? Career, work, jobs ? Cooking skills? ? Continuing exercise after Young Adult

    ? Relationships, marriage, ? Meal planning for family college

    divorce ? Money issues ? Time constraints ? Kids ? Diets ? Preventing injury ? Health- self and family ? Fast food ? Early prevention of ? Money ? Balanced diet? osteoporosis, heart disease ? Pain ? Prenatal/postnatal nutrition etc.

    ? Maintaining ideal weight ? Relationships ? Weight gain ? Maintaining ideal weight Middle Adult

    ? Kid’s issues ? Diet related diseases ? Resistance exercise ? Death of parents ? Getting nutrient rich diet ? Injury prevention ? Work (shifting role?) ? Getting enough nutrients ? Exercise as stress reliever ? Health without too many calories ? Gym costs? ? Money ? Restaurant choices

    ? Pain

    ? Death and dying ? Inadequate intake of essential ? Preventing falls and injuries Older Adult

    ? Kids/grandkids nutrients ? Maintaining muscle ? Money ? Dehydration strength- bone health ? Loneliness ? Ability, or lack of, to shop, ? Quality of life ? Health cook food ? Preventing worsening of ? Role in society ? Loneliness, depression effects disease ? Physical abilities on appetite ? Leisure activities ? Anxiety/depression ? Special diets related to health


    ? Maintaining appropriate


    Applying the Nursing Process

     Stress (Adolescent) Nutrition (Infant) Exercise (Older Adult) ? Inquire about potential ? Physical assessment: height, ? Physical assessment- Assessment

    stressors- school, work, weight, skin integrity, turgor, determine activity ability,

    family, peer etc. and color, hair and nail current strength, balance, ? Assess physical signs and health, head circumference, cardio status, ROM Use

    symptoms of stress activity level, “get up and go” test ? Inquire about coping responsiveness, ? Inquire about current

    strategies if any developmental milestones activity level, health

    ? Interview mother/father issues, goals, mobility etc.

    about infants diet, feeding ? Assess level of alertness,

    schedule, and elimination mental status

    patterns ? Assess nutritional status

    ? Assess cultural, religious

    beliefs regarding nutrition

    ? Anxiety ? Ineffective infant feeding ? Activity intolerance Diagnosis

    ? Stress overload pattern ? Risk for Falls ? Ineffective coping ? Imbalanced nutrition: Less ? Risk for Disuse syndrome ? Health-seeking behaviors than body requirements ? Impaired Mobility

    ? Imbalanced nutrition: More ? Sedentary lifestyle

    than body requirements

    ? Adolescent will use effective ? Infant will consume adequate ? Client will increase Planning

    coping strategies by: calories based on physical activity by: Outcomes (specific date) height/weight/age (specific sate) ? Adolescent will report ? Infant will gain weight ? Client will verbalize

    decrease in physical appropriate to age/time feeling of increased

    symptoms of stress by: ? Parent will respond to strength and ability to

    (specific date) infant’s behavioral cues move by: (specific date) ? Adolescent will identify and ? Infant will be free of signs of ? Client will participate in

    verbalize symptoms of malnutrition by (specific prescribed physical

    anxiety by: (specific date) date) activity by: (specific date) ? Adolescent will use effective ? Infant will weigh within ? Client will maintain full

    anxiety controlling normal range for height and ROM in joints

    techniques by: (specific date) age by (specific date) ? Client will meet mutually ? Adolescent will review ? Parent will identify defined goals of

    amounts and types of nutritional requirements by ambulation by: (specific

    stressors in daily living by: (specific date) date)

    (specific date) ? Client will show

    ? Adolescent will identify improvement in get up and

    modifiable stressors by: go test as evidenced by

    (specific date) improved score (specific ? Adolescent will reduce stress numbers)

    levels through use of ? Client will show increased

    relaxation techniques and muscle strength, balance,

    other coping strategies by: and Cardio endurance by:

    (specific date) (specific date) ? Teach coping strategies and ? Help parent to recognize ? Engage client in planning Planning

    relaxation techniques infants hunger cues daily exercise routine Interventions ? Help client identify stressors, ? If breast feeding, assess ? Help client evaluate

    and then find appropriate mother’s diet, milk supply to various exercise plans

    coping skills determine if it’s adequate such as walking, ? Help client identify anxiety ? Provide parents with gardening, Tai chi, chair

    triggers, and find coping resources that discuss when yoga, water aerobics etc.

    skills to introduce solids ? Help client choose ? Help client find ways to ? If underweight, help parents exercise activities based

    reduce stressors, reduce to start a feeding diary of on ability level, physical

    anxiety triggers, and learn when and how much the restrictions

    effective coping strategies infant eats ? Refer client to local

    ? Help parents to set up community centers that

    feeding schedule based on offer group exercise

    infants age if infant is not activities and classes

    eating enough to maintain ? Be prepared to refer client

    weight to physical therapist ? Implement planned ? Implement planned ? Implement planned Implementation

    interventions interventions interventions ? Plan follow up meetings with ? Provide follow up care to ? Follow up with client

    client to continue monitor infants weight and weekly at first, later

    implementing interventions height monthly after routine has ? Encourage client to ? Be ready to refer to a been established

    communicate with nutritionist if problems ? Refer to PT for

    supportive family and friends remain appropriate resistance

    to help with coping strategies ? Help parents understand exercises ? With the adolescent’s importance of responding to ? Help client to identify any

    permission, set up meeting infants cues, and feeding nutritional deficits that

    with teen and parent to young infant on demand could impact activity level

    discuss stressors and coping ? Provide additional ? Check for clients

    strategies information/resources on understanding of safe

    effective infant feeding exercise practices


    ? Reassess the clients physical ? Reassess infants weight, ? Reassess the clients Evaluation

    signs and symptoms of stress height and development physical status

    ? Talk to the client about their regularly ? Help client to identify

    coping strategies ? Check for parents areas of success, and areas

    ? Determine if client has understanding of feeding that need continued work

    experienced success with techniques and infant hunger ? Help client to identify

    newly learned strategies cues improvements in physical

    ? Check for understanding of ? Observe parent-infant status- balance, strength,

    stress and anxiety reducing interaction during feeding ROM, mobility, endurance

    techniques ? Discuss outcomes with the etc.

    ? Review stressors and anxiety parents

    triggers to determine if they

    are being reduced


    Ackley, Betty J. and Gail B. Ladwig (2008). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, Eighth

    Edition. St. Louis: Mosby Elsevier.

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