In order to promote healthy development based on the four theories and the developmental tasks of middle adulthood, the nurse and S.O. devised a plan by setting a list of goal for S.O. to work toward. S.O. and the nurse agreed that as the client, S.O. will continue to manage and maintain a healthy balance between career, finances, and family. S.O. will also continue to contribute positively to her family by caring for her grandchildren and being a positive influence for them. Furthermore, she will continue to be active in her church by teaching Sunday school and leading a girl’s bible study. Seeing as S.O. does not like people and would prefer not to participate in group activities, the nurse and S.O. decided that S.O. will try to talk to more people her age at church as she develops her toleration of others opinions and actions. In order to deal with the stress more communication may cause S.O. and to improve her mental health S.O. will allot an hour or two a day to alone time so she can just be quiet and get away from stressful circumstances and people. S.O. will also work on accepting the changes in her body due to the hysterectomy and aging process. She will attempt to feel less frustrated by these changes and let her anger passes quickly. Finally, S.O. will continue to look to God and her husband for support, while continuing to grow these relationships daily. The client will continue to build intimacy with her husband, even though sex is no longer essential.
In order to meet the objectives of Healthy People 2020, S.O. will continue her good lifestyle behaviors and change her poor healthcare habits. S.O. will continue to get the recommended seven to eight hours of sleep a night and she will continue her weekly exercise routine, ensuring that she get at least two and a half hours of exercise a week. S.O. will add weight-bearing exercises to reduce the risk of bone density loss. In order to relieve the compression in her back and to relax, S.O. will continue to use her inversion machine. As a way to improve her nutrition, S.O. will eat more fruits and vegetables by eating fruit at breakfast and lunch and by increasing vegetable portion sizes. In order to reduce her iron-deficiency anemia, S.O. client will continue to eat spinach and increase her consumption of vitamin c to aid in iron absorption (Whitney, 2011, p. 257). S.O. will continue to take preventative measures, such as On Guard Plus, to prevent against seasonal illnesses and will stop taking colloidal silver. S.O. will check her records to determine when she received her last tetanus diphtheria booster and she will strongly consider going to the doctor to perform the recommended screenings. As a compromise with the nurse, S.O. will perform breast self-examinations monthly and go to the doctor immediately if an abnormality is found for a diagnostic mammogram (“Mammograms,” 2012).
After meeting with the nurse for a formal interview and discussing various goals,...