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Nov 24, 2024

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D222: Comprehensive Health Assessment Student Name College of Health Professions, Western Governors University Instructor Name Month Day, Year

D222: Comprehensive Health Assessment D1. Health Promotion Justification Assessment of the 23-year-old patient reveals that she is healthy with no current signs of symptoms and distress, although she indicates that her paternal grandmother suffered from hypertension and hyperlipidemia. In this context, the first recommended health promotion activity is performing physical activities, which is meant to prevent the patient from developing hyperlipidemia. According to Stewart et al. (2020), hyperlipidemia, the accumulation of cholesterol in the blood vessels, is caused by a poor lifestyle, including an unbalanced diet, insufficient exercise, excessive smoking, overweight and obesity, and overconsumption of alcohol. In other cases, hyperlipidemia is linked to hardening of the arteries and complications such as heart attack. Regular physical activity reduces cholesterol and triglyceride levels, and improve the patient's overall quality of life by reducing the risk of diabetes and obesity ( Stewart et al., 2020). Physical activities recommended include walking, swimming, jogging, or performing aerobics. The other health promotion activity meant to reduce the risk of hypertension is stress management. Notably, stress occurs as an automatic physical, mental, and psychological response to life difficulties. The American Heart Association (2023) notes that stress majorly contributes to the development of hypertension risk factors, including excessive alcohol consumption and poor dieting. Likewise, Ruopp & Cockrill (2022) acknowledge that stress causes repeated elevated blood pressure and triggers the nervous system to release large quantities of vasoconstricting hormones that increase blood pressure, raising the risk of hypertension. The technique recommended is meditation, which achieve stress management by enhancing the state of relaxation and tranquility in mind and improving the breathing systems.

D2. SMART Goals Goal 1. Performing Physical Exercises S: Engage in regular aerobic exercises to reduce the risk of hyperlipidemia. M: Participate in a minimum of 150 minutes of aerobic exercise weekly. A: Gradually increase exercise duration and intensity, starting with 30 minutes of moderate-intensity activity and gradually increase to achieve the 150-minutes target. R: Engaging in aerobic exercises is relevant because it helps improve lipid profile and cardiovascular health. T: Achieve the target of 150 minutes of moderate-intensity aerobic exercise per week within the next three months. The overall SMART goal for enhanced physical activity will be: Over the next three months, the patient will engage in regular aerobic exercises for at least 150 minutes per week. She will start with 30-minutes activity and gradually increase the duration to achieve the target, which will help improve her cardiovascular health and reduce the risk of hyperlipidemia. Whereas the patient focuses on increasing her physical activity, it is imperative to consult a qualified fitness trainer to design or adjust the exercise plan based on her condition and health status. Goal 2. Stress Management S: Improve stress management through mindfulness meditation. M: Meditate for at least 10 minutes daily, six days a week. A: Incorporate meditation sessions into her daily routine, finding time during breaks or before bedtime. R: Reducing stress through meditation can positively impact mental and physical health.

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T: Meditate for at least 10 minutes daily, six days a week, for three months. The overall stress management SMART goal will be: The patient will improve stress management through mindfulness meditation and meditate for at least 10 minutes daily, six days a week, for the next three months. Regular practice will help reduce stress, promote relaxation, and improve my well-being. Since stress management is a personal journey, the patient should adopt the method that best suits her lifestyle. If meditation does not fit her lifestyle, she should adopt another method, such as spending time in nature.

References American Heart Association. (2023, June 5). Managing stress to control high blood pressure . www.heart.org. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you- can-make-to-manage-high-blood-pressure/managing-stress-to-control-high-blood- pressure Ruopp, N. F., & Cockrill, B. A. (2022). Diagnosis and treatment of pulmonary arterial hypertension: a review. Jama , 327 (14), 1379-1391. doi:10.1001/jama.2022.4402 Stewart, J., McCallin, T., Martinez, J., Chacko, S., & Yusuf, S. (2020). Hyperlipidemia. Pediatrics in Review, 41(8), 393-402. https://doi.org/10.1542/pir.2019-0053