Health promotion

5 Health Promotion Nursing Care Plans

Health Promotion 5 Nursing Care Plans

5 Nursing Care Plans on Health Promotion

Health promotion is an integral part of nursing care wherein the nurse guides the patient and family towards improving their well-being and actualizing their health potential. According to NANDA, a health promotion nursing diagnosis requires evidence of a readiness to enhance health behaviors and the expression of desire and motivation to perform actions to improve health.

Health promotion also aims to prevent disease from occurring or becoming worse. The following nursing care plans contain health promotion nursing diagnoses that can be useful to enhance a person, family, or community’s health status.

Nursing Stat Facts 1

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Nursing Stat Facts 1

Nursing Care Plan 1

Health Seeking Behaviors. This nursing diagnosis can be applied to clients who are actively seeking various ways to change their personal health habits, which may also include altering their environment to achieve a better level of health. Clients who can benefit from a nursing care plan that focuses on motivating health seeking behaviors may have the perception that achieving optimum health is one of life’s primary purposes.

Health seeking behaviors may include stress management, smoking cessation, weight loss or weight gain, proper diet, adequate exercise, safe sex practices, and actions to reduce the risk for stroke, diabetes, and other grave illnesses.

Nursing Diagnosis: Health Seeking Behaviors related to the prevention of status asthmaticus or asthma attack as evidenced by the patient’s verbalization of wanting to prevent asthma attacks in the future and asking questions about asthma triggers and how to avoid them

Desired Outcome: The patient will verbalize that he/she has understood asthma triggers and preventive measures for asthma attacks.

InterventionRationale
Assess the patient for the frequency of asthma attacks, any known triggering factors, allergies, history of respiratory infections, and current medications.To establish baseline data about the client’s asthma attacks and known triggers, as well as the current management of these.
Educate the client about covering the nose and mouth when coughing or sneezing, as well as reducing exposure to other people with respiratory infections.To prevent the transmission or spread of bacteria and viruses through airborne droplet mode.
Encourage patient and family to alter the home environment in terms of reducing dusts, minimal exposure to pets and indoor plants, changing filters, and avoiding common food allergy triggers such as eggs and nuts.To limit the client’s exposure to the common triggers of asthma attack.
Instruct the patient and family about proper handwashing and hand gelling techniques. Allow them to perform a return demonstration of the procedure.To prevent the transmission or spread of bacteria and viruses through direct contact.
Inform the client and family of the signs and symptoms of the onset of an attack.To facilitate early recognition of an asthma attack which can also result to urgent medical intervention.
Advise the client to reduce exposure to external asthma triggers such as air pollutants, pollen, dust mites, and cold air.To limit the client’s exposure to the common triggers of asthma attack.  
Educate the patient and family regarding the medications for asthma and how to manage an asthma attack. Allow them to perform a return demonstration of the procedure.To promote patient’s compliance in self-administering medications and to be prepared should an asthma attack happen.

Nursing Care Plan 2

Readiness for Engaging in a Regular Physical Program. This nursing diagnosis focuses on helping the client achieve a better health status by means of guiding them towards establishing regular physical activity.

It can be useful for patients who express their willingness to start a physical activity program or an exercise regimen. Physiotherapists recommend at least 150 minutes of moderate aerobic physical activity per week, which can be either continuous (at least 3 sessions in a week) or intermittent (divided into 10-minute sessions).

Nursing Diagnosis: Readiness for Engaging in a Regular Physical Program related to known high risk for cardiovascular diseases as evidenced by the client’s verbalization of starting an exercise routine and a BMI of 31 (obese).

Desired Outcome: The client engages in a recommended aerobic exercise routine that has been tailored for him/her as evidenced by completing at least 150 minutes of moderate exercise per week.

InterventionRationale
Assess the current level of physical activity and mobility of the client, as well as his/her lifestyle and diet.To establish baseline data on the patient’s physical activity and mobility, as well as correlate how his/her current dietary choices affect weight, overall health, and degree of physical activity.
Discuss with the patient any past experiences with structured exercise routine or physical activity.Previous experiences with exercise and physical activity can affect the client’s motivation to be consistent in the exercise regimen that he/she is about to perform daily. Positive feelings from past exercise regimens can help motivate the client even more, while negative feelings towards past exercise regimens can be further explored to guide the healthcare team in tailoring a new physical activity regimen for the client.
Create an activity calendar with the patient. Include the types of exercise that the patient looks forward to perform, such as walking, swimming, dance classes, aerobics, playing sports, running, etc.An activity calendar can help the patient monitor their daily physical activity. Including preferred exercises can help retain the patient’s motivation to exercise and achieve better physical health.
Encourage the patient to wear comfortable clothing and footwear during physical activity.Heat loss happens during physical activity; therefore, clothes and footwear should be appropriate for this especially when in a humid and hot environment.
Advise the patient to stay positive and not be disappointed during possible lapses and relapses, which include being busy at work, sickness, during winter, or when in vacation.It is important for the client to feel supported whenever there is a decline in physical activity, so as to motivate them to try again and restart their exercise regimen.

Nursing Care Plan 3

Readiness for Enhanced Nutrition. This nursing diagnosis is beneficial to patients who expresses their desire to have healthy food choices and improve their eating habits. When creating a care plan for enhanced nutrition, the nurse may include instructions on hand hygiene, safe preparation of food, and proper storage of food items.

Nursing Diagnosis: Readiness for Enhanced Nutrition related to recovery from gastroenteritis as evidenced by verbalization of wanting to start a healthier diet plan and asking questions about which foods can help strengthen his immunity.

Desired Outcome: The client will verbalize understanding of how to improve his nutrition, including learning about hand hygiene, safe preparation of food, and proper storage of food items.

InterventionRationale
Assess the patient’s baseline knowledge of proper nutrition, preparation and storage of food, and hand hygiene.To establish baseline data about the patient’s knowledge regarding nutrition, preparation and storage of food, and hand hygiene.
Check the patient’s weight and body mass index (BMI). Ask the patient for any weight loss or weight gain in the last 6 months.To have baseline information about weight changes and to know the calorie requirements of the patient based on BMI.
Create a sample weekly meal plan with the patient. Ensure to include discuss food preferences and food allergies. Explain the need to incorporate different food groups and their benefits.A weekly meal plan can help the patient to list healthy foods, count calories, and include food and drinks that he likes in order to motivate him to achieve optimum nutrition.
Teach the patient about proper hand hygiene, safe preparation of food, and proper storage of food items.To prevent contamination of food items, hence reducing the risk for infection.
Consider referring the patient to the nutrition and dietetics team.To provide specialized nutrition management for the patient.

Nursing Care Plan 4

Readiness for Enhanced Immunization Status. This nursing diagnosis is applicable to a client who expresses their willingness to follow the standards of immunization (whether local, national, or international standards) not only for the sake of conforming to these standards but more so to protect themselves, their family, and community against vaccine-preventable diseases.

Nursing Diagnosis: Readiness for Enhanced Immunization Status related to family history of HPV infection as evidenced the client’s verbalization to know more about HPV vaccines, and her verbal report that her mother had HV infection and cervical cancer

Desired Outcome: The client will verbalize understanding of what HPV and HPV vaccine is.

InterventionRationale
Check the client’s immunization status.To establish baseline data regarding the immunization status of the patient.
Assess the patient’s risk for developing sexually transmitted infections (STIs) or any possible past exposure.Human papillomavirus (HPV) infection is an STI that is now common in both men and women. Knowing the patient’s risk for HPV infection can help discuss the benefits of the vaccine to the client.
Discuss what HPV vaccine is, its benefits, risks, and how it is given.To educate the client about the HPV vaccine and help her make an informed choice.
Explain the possible side effects of HPV vaccine to the client and how to effectively manage them should they occur.  The common side effects include: Mild fever –advise to take antipyretics and have plenty of fluids and restPain, swelling, and/or redness on the injection site – take pain relievers if needed; re-assure that these symptoms will resolve in the next few daysDizziness – advise that this is a common side effect; discourage operating heavy machinery or driving for at least 48 hours after vaccination  To empower the client and re-assure her regarding the management of the side effects of HPV vaccine.

Nursing Care Plan 5

Readiness for Enhanced Therapeutic Management. This nursing diagnosis is useful for clients who express their willingness to strengthen daily actions towards achieving their health-related goals in relation to the treatment of their illness.

Nursing Diagnosis: Readiness for Enhanced Therapeutic Management related to lifelong diabetes management as evidenced by the patient’s verbalization of wanting to know more about his blood glucose monitoring, diabetic medications and dietary restrictions

Desired Outcome: The patient will verbalize understanding of his diabetic management, including blood glucose monitoring at home, self-administering medications, diet, and prevention of complications related to diabetes.

InterventionRationale
Assess the patient’s current knowledge about diabetes and his diabetes management. Ask about his current medications, how and when he self-administers them, as well as how he monitors his blood glucose levels.To establish a baseline data about the patient’s level of understanding of his diabetes management. Assessment also allows the nurse to affirm good therapeutic regimen or correct any misconceptions about diabetes care.
Confirm with the patient the normal blood glucose levels and what to do when he experiences hypoglycemia or hyperglycemia.To promote effective blood glucose monitoring and to ensure that the patient is aware of the appropriate actions to take when having low or high blood sugar levels.
Create a daily medication diary for the patient if needed.Some diabetes patients take several diabetes medications or have complex diabetes regimen. Having a daily medication diary can help the patient to follow the prescribed medications and prevent any misses or overdose.
Discuss proper diabetic diet with the patient. Incorporate the patient’s likes and dislikes when creating a sample weekly menu.Diet is a crucial part of diabetes management.
Educate the patient about the signs and symptoms of the complications of diabetes, such as diabetic neuropathy and diabetic ketoacidosis.To empower the patient to acknowledge worsening health in relation to the complications of diabetes. Early recognition of the complications is very important in their treatment.
Provide the contact details of the community diabetes care team.To provide support for the patient at home/ in the community.

Nursing References

Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier.  Buy on Amazon

Gulanick, M., & Myers, J. L. (2017). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon

Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier.  Buy on Amazon

Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier.  Buy on Amazon

Disclaimer:

Please follow your facilities guidelines, policies, and procedures.

The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes.

This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment.

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