1. Health Improvement Plan Michael Zaleski

2. Client Overview Gender: Female Age: 46 Education: high school Profession: Deli worker Family Situation: Lives with husband, son, and daughter Chief Complaints: Not enough sleep, and addiction to cigarettes

3. Overview of health history Weight: 175 Height:5’10 Adult illnesses: Hyperthyroidism (1994), Walking pneumonia (2002), and inflamed gallbladder which was removed (2011) Family health history: Diabetes Modes of relaxation: Watching TV, drinking, and communicating with friends via phone

4. Research Smoking leads to death, and also a psychological dependency for tobacco which is unhealthy (Taylor, G. 2014 January 21) Each cigarette smoked is killing thousands a cells within minutes, it takes minutes rather than years for tobacco to effect you negatively (Narayanassamy, V. 2013, June 1) Switching to electronic cigarettes is beneficial in helping you quit with no side effects left from the e-cig, making quitting easier (PhD, R.G 2014, January 1) Making a “crave journal” to document when you smoke, when you pass up a smoke, or when you’re really craving it has been proven to effectively reduce smoking (Robinson, L., & Smith, M. 2014 May 1)

5. Target Behavior Reduce smoking from half a pack a day to eventually quitting

6. Theory (HBM) High Perceived Susceptibility: Higher risk of developing a disease like lung cancer, or emphysema Low Perceived Severity: Doesn’t have health problems now, and have tried to quit smoking before and did not succeed Perceived Barriers: Has been smoking for many years (20+), the temptation to smoke because her friends are smoking, and uses smoking to relax High Self-Efficacy: Married, no major health problems as of late, and support from family and friends

7. Theory (cont…) Reducing B’s smoking will allow her to become healthier, and breathe clearly Increased Perceived Severity: Millions of people die every year from tobacco use, and smokers have a shorter life expectancy (about 10 years shorter) Different Ways of Coping With Stress: Electronic cigarette will be the best and only thing if the client still wants that smoking sensation Raise Perceived Benefits: Reducing or quitting smoking will instantly make B feel healthier than ever with clear lungs and no wheezing after doing some kind of exercise Never Say Negative Things: Keep self-efficacy up Get Help from Peers: To encourage B not to smoke and have her smoking friends not encourage her to smoke, or even offer her one

8. Smart Goal 4 weeks B will have reduced her smoking intake gradually by smoking a little less everyday Find other ways to cope with not smoking most likely an e-cig or vaporizer Lecture B on the enormous amount of health risks she’s taking with smoking, and show how it would be better if she stopped smoking With each week her intake should be down at least two cigarettes less than the week before, slowly but surely quitting smoking Will use a “crave journal” to document when she smokes, and keep track of how much day- by-day

9. Intervention Highlights Changing B’s intake of smoking Enlightening client B about the harms of smoking

10. Results B has reduced intake of smoking each week, even if it is only two cigarettes less than the week before Changing B’s smoking habits have made her healthier and happy Over all client B was not a hundred percent interested in reducing smoking, but after showing everything that could happen she followed my plan to reduce her smoking little by little She has gone from a half a pack to a quarter pack in 4 weeks Very soon client B is going to get an electric cigarette or vaporizer as an alternative to smoking

11. Data MONDAYTUESDAYWED.THURS.FRIDAYSATURDAYSUNDAY WEEK 1Half a pack 9 cigs WEEK 29 cigs8 cigsHalf a pack9 cigs Half a pack8 cigs WEEK 38 cigs9 cigs 7 cigs8 cigs7 cigs WEEK 47 cigs6 cigs7 cigs6 cigs8 cigs6 cigs5 cigs

12. Personal/Professional Analysis Using a theory to guide an intervention is easier said than done, especially if client is not a hundred percent determined With trying to help my client change their lifestyle for better health I realized I enjoy doing so Using The Health Belief Model (HBM) it’s easier to show the client factors, susceptibility, benefits, etc. Hopefully this will lead to the client quitting smoking

13. References Taylor, G. (2014, January 21). Change in mental health after smoking cessation: systematic review and meta-analysis.. Retrieved may 15, 2014 from http://www.bmj.com/content/348/bmj.g1151http://www.bmj.com/content/348/bmj.g1151 PhD, R. G. (2014, January 1). E-cigarette benefits.. Retrieved may 15, 2014, from http://circ.ahajournals.org/content/129/19/1972.fullhttp://circ.ahajournals.org/content/129/19/1972.full Robinson, L., & Smith, M. (2014, May 1). How to quit smoking.. Retrieved May 15, 2014, from http://helpguide.org/mental/quit_smoking_cessation.html http://helpguide.org/mental/quit_smoking_cessation.html Narayanassamy, V. (2013, June 1). The effect of tobacco smoking within minutes.. Retrieved May 15, 2014, from http://www.significancemagazine.org/details/webexclusive/1000531/the- effect-of-tobacco-smoking-within-minutes.html http://www.significancemagazine.org/details/webexclusive/1000531/the- effect-of-tobacco-smoking-within-minutes.html