Conclusion
After looking at the ‘present exercise routine’; I have realised that Katherine has no daily exercising routine. Although she does do more than some people do. I fell as if Katherine does too much exercise and not enough consuming of food. This is really bad for Katherine, physically as she is losing more calories than she is actually putting on. My client has both simple and very complicated exercises. Doing less exercises may help my client to have time to think intellectually, about her self. This could lead to her beginning to socialize. As if she is emotionally happy people would want to spend time with her, and she also will have the time o spare with them.
Introduction
Following after, looking at Katherine’s ‘old diet diary’, I have determined to put my client onto a much more suitable health plan. I have put this together by including all the necessary food groups, which will eventually help my client towards a healthier lifestyle.
Conclusion
I have now produced a ‘new diet diary’ for Katherine, following onto this I have added the nutrients and the outcomes of the healthier option. This future plan is much healthier and is much more suitable for my client. I have included the 5 major food groups, which will help my client in a number of ways. When doing this, I added the PIES to the outcomes and uses of the nutrients. Which are: physical, intellectual, emotional, and social uses.
Physically, Katherine will have a much better and improved balanced diet which she would need to follow, causing her physical appearance to improve. This will help her to gain weight, and with the right ingestion of food Katherine will be able to concentrate enhanced intellectually. She will begin to feel emotionally happy and good about herself. I have still included cigarettes, as she is addicted but she will eventually cut down on her smoking, so more people might want to socialize with her. She also will be emotionally pleased as she is eating healthily, but is enjoying what she is eating as well. This will give her a great big opportunity to go out and socialize.
Conclusion
This weekly exercise routine should hopefully help my client to gain weight and stay healthy. Physically, Katherine will feel more secure about her appearance; this may boost her confidence to socialize. If she is interacting with her friends and family then she will be emotionally happy. Intellectually my client may begin to think how she can improve on her present lifestyle (e.g. quit smoking).
Objectives for improving Katherine’s health and well being
My client Katherine Lewis needs to improve and work on her present diet, exercise and smoking. To assist me and my client to understand this, I have alienated the targets in physical, intellectual, emotional and social.
Timescale
Below I have segmented all the goals into short; medium and long term targets. This should help Katherine to be able to identify her early progress at the beginning, and she how she improves from there. Then finally she will enable to see how she can permanently build up and improve on her current lifestyle.
Short Term Targets (2 weeks) code-
- A1- keep a record of the weight of my client. Begin the day with the diet and exercise routine.
- A2- record the food intake and work out an average of calories (this will support my client to understand her diet.)
- A3- by eating a healthy diet will mean that Katherine is following the diet plan.
- A4- intend to put on at least ½ pound of fat on each week.
- A5- follow the exercise plan by attending all the activities which I have arranged for you in my table. At least try and do 30 minutes of each exercise, as this will help her to become healthier, whereas first she was doing an unnecessary amount of physical exercise. (About 2 hours per a day.)
- A6- prepare everything the night before work or a set day out, as this will give my client extra time in the morning to do any additional arrangements.
- A7- go to sleep around 9:30pm since- this will give enough time for my client to rest and energize for the next day.
- A8- I would also advice my client to read a book or a publication before bed, as this will put her mind off many things.
- A9- begin to arrange a day out with your family and friends. This will resolve to Katherine getting to know them better.
- A10- use nicotine patches instead of smoking.
- A11- Begin to spend some quality time with your close family.
Medium Term Targets (8 weeks) code-
- B1- persist following all the plans which have been set for you. And increase the amount done for each exercise session.
- B2- with a practice nurse, confer improvements which have been made, and try to become constant with your weight.
- B3- begin to realise that home and exterior life are different. Disconnect them and act different in your professional and personal life.
- B4- to diminish stress stages and take part in more activities.
- B5- take your family and friends out more than often. Start organizing long day trips out to diverse locations.
- B6- keep on observing your diet plan for calories and balance your intake of food.
Long Term Targets (6 months) code-
- C1- continue to follow the exercise and diet plan.
- C2- check progress of your mass to see if you have gained weight.
- C3- try not to over work yourself as this will get you stressed, instead find a reasonable solution to the problem and solve it.
- C4- take some time out and do things more dependently.
- C5- begin to take part in social activities to make new friends.
- C6- to carry in checking that you are on target and confirm your calorie intake.
Why I decided to have this plan for my client
My client- Katherine Lewis is stimulated and strong-minded to follow all the PIES which link to the plans. In the old diet, Katherine ate very less. She did not enjoy eating, or taking part in any social activities. There were not enough vitamins or minerals, which would have helped her to not become anorexic and bulimic. Although, I have given her more food to eat on the diet plan, but there is still room for improvement. I will still need to encourage, and push her to become healthier. I have realised my client enjoys a lot of fluids, so I have also included them in her new diet.
This means she can become healthier, but can enjoy her previous foods as well. Also present in the old diet was, that my client over-exercised. I have changed this to less exercise which will suit her and her body better. I have included: swimming, dancing, jogging and walking. These are the steps she will need to follow in order to gain some extra weight. And this will also help her to be in the best of health. If she follows this plan in the right manner, this will assist Katherine to exercise more often.
Physically, my client is getting callisthenics, by going to the gym often; by doing some additional exercise at both work and at home; just by sitting down and watching T.V Katherine is getting a workout.
Intellectually, Katherine’s mind is beginning to become more encouraged. This is mainly because her exercise plan is a very suitable routine- which will enhance her mind, but also relax it as well.
Emotionally, she will feel less pressurised by the exercise routines which I have set for her, than the ones she had set for herself before. By knowing that she has a lot of spare time, which she used to waste on exercising and keeping her self fit, she will use the spare time wisely. Thus having free time on her hands, she has the opportunity to have a social activity for that time.
Socially, Katherine will have more friends, and more people around her will help her to share her feelings more openly then before. This means that she can socially interact with the outside world more, thus she could begin to work in a team or a group of any sort.
STRENGTHS FOR THIS PLAN
- The diet plan includes foods from each of the main food groups, therefore they each contain nutrients, and thus the meals are healthy and are equally balanced.
- Katherine will gain enough weight, to keep her body mass at an equal position.
- Work-outs can improve my client’s self-esteem and self-belief, by doing this Katherine will feel more confident on going out and socializing.
- Katherine’s physical state will advance by the exercise plan.
- By keeping up with the long term targets; my client will also be saving a lot of money, as she will not be purchasing any more cigarette packets. Boxes of cigarettes may not seem to be wasting money, however are the easiest way for a smoker to waste a large amount of money. I hope that my client will realise soon enough that by buying packets of cigarettes, will be in other words just throwing hard earned money straight into the bin.
- The money which is saved from buying cigarette boxes- could go towards extra sessions at the gym.
-
If Katherine follows the plan properly and shows determination towards improving her lifestyle, than her: social life, physical state, emotional and intellectual welfare will be enhanced and improved. This is however, only if Katherine sticks to the diet and exercise plans.
-
All these achievements will improve my client’s standard of living, this will lead to Katherine feeling more relaxed in the way she lives her life. It will also boost her confidence throughout the rest of her life.
Alternative Ways of Convalescing Katherine’s Health and Well-being
Katherine could:-
- Join a group which specialize in focusing on the customers: weight issues; eating disorders and; the type of exercise she/he are doing presently.
-
Begin extra swimming lessons, as this will give her a time to relax and enjoy this type of sport. Although, I fell that Katherine may want to have extra time at the gym instead, as she will rather find it easier to socialize in a gym than a swimming centre.
- Take up a therapy lesson or more yoga to decrease her stress stages, since this can help a lot towards taking the stress off my client’s shoulders.
- Katherine could also, start researching on other types of healthy meals, and which she would personally prefer to eat, than always trying to stick to the basis of foods.
How Katherine could be supported through the Plan
To support Katherine reaching the targets set for her to improve her health and well-being, leaflets and posters will be displayed and offered to her. These will illustrate to my client, all the different types of activities which are available presently. They will also include the purpose of them; this will help Katherine to realise what and why she is doing the activity. Posters; information leaflets; letters, etc will give my client a way of connection for her to use the club, they will give her useful information for example: a number, and an address of the fitness and leisure centres she can join. Katherine could also visit places- where there are people who are also suffering from the same illness as her.
Brief Summary
Below, I have shown weekly reports on Katherine’s individual targets, the things that were pleasing and worked and the things which were not very pleasing and did not work. I have also included the issues which can be improved and my comments.
Weekly report (Short Term)
Clients Name: Katherine Lewis
Age: 27
Date: 26th September 2006
Personal targets for this week:
- S- To spend more quality with family.
Support given:
- Family and friends giving her corporation
- Friends providing useful advice in how to spend more time with family.
Alternative support:
Take pleasure in outings with family and friends; go to-
-
Showcase cinema - Gielgud Way, Coventry CV2 2SZ
- 0871 220 1000
- Cannons Leisure Centre
-020 7207 8004
Review date: 19th October 2006
What went well:
- My client took the entire week off work, to take the family on holiday. She also listened to the advice by her friends, and had quality time with each member of the family independently.
What did not work:
- Katherine tried not to get too worked up, but sadly got very stressed as she, came very behind in her work. So instead of enjoying the entire week, she spent the last 4 days of the vacation catching up on her work.
Need to improve on:
-
My client will need to be much more organized, next time she decided to plan a holiday. She would also need to try harder, on separating her personal and professional lives, in order to socialize more with her family.
Signature of client:
Date: 19th October 2006
Signature of health advisor:
Date: 19th October 2006
Additional notes:
Weekly report (Short Term)
Clients Name: Katherine Lewis
Age: 27
Date: 20th October 2006
Personal targets for this week:
- P- Begin to read books of any sort.
- E- Use nicotine patches instead of smoking.
Support given:
- Her family support her by discussing the problems of smoking, and hearten her to quit smoking.
- Friends to keep her company.
- She could visit an advice centre and a library.
Alternative support:
Visit centres and libraries for more information:
-
24 Harley St, London & Manchester
2) Freemasons’ Hall 60 Great Queen Street Holborn WC2B 5AZ
- 020 7679 5199
Review date: 10th November 2006
What went well:
- Katherine did read a lot of books when she got the time. She brought nicotine patches/ gum, and visited the library ad the health centre. She also saved plenty of money, which’s she is going to put forward- for extra gym lessons.
What did not work:
- Although, my client tried to stay away from the cigarettes, she tended to have one per a night, although she has began to stop completely now. My client did read books, but only magazines and true stories; I feel that she should read a bit more, as this will help to relax her for the long term.
Need to improve on:
- I feel Katherine should open her variety of choice in books. Currently she is only reading true stories, which are mostly sad; these types of books may depress Katherine further which is not good for her health. She should go on and borrow more novels from the library, below I have commented on some of the choices of books which, I feel would be suitable for Katherine:
by Anne McCaffrey
Availability: In stock. Dispatched from and sold by Amazon.co.uk.
by Garth Nix
Availability: In stock. Dispatched from and sold by Amazon.co.uk.
On Chesil Beach
by
£4.89
Availability: In stock. Dispatched from and sold by WaterStones.co.uk.
Signature of client:
Date: 10th November 2006
Signature of health advisor:
Date: 10th November 2006
Additional notes:
Weekly report (Medium Term)
Clients Name: Katherine Lewis
Age: 27
Date: 11th November 2006
Personal targets for this week:
- I- Confer improvements, and be steady with your weight.
- P- Meet practice nurse.
Support given:
- Leaflets and information sheets.
- Family and friends again giving her support.
Alternative support:
- I have recommended some websites which Katherine can purchase some health leaflets and sheets:
OHS- Health Improvments:
Hope Street - adjacent to or opposite Lincoln Building
Review date: 25th November 2006
What went well:
- Katherine listened to the advice, given by the practice nurse. She took this useful guidance- and began to make some extra personal targets for herself.
What did not work:
- She did not read enough info-leaflets; so felt as if she did not have a large variety, of centres to visit or people to talk to, whereas this was not true.
Need to improve on:
- Open up a search for more places to go to for health discussions. I have provided my client with a phone number, for all the health centres around her area, and there whereabouts-
Signature of client:
Date: 25th November 2006
Signature of health advisor:
Date: 25th November 2006
Additional notes:
Weekly report (Medium Term)
Clients Name: Katherine Lewis
Age: 27
Date: 26th November 2006
Personal targets for this week:
- P- Disconnect your personal and professional lives, and act different in both of them.
- P-Take part in more activities.
Support given:
- Family and friends.
- Club members.
Alternative support:
Fitness centres: -Olympia Fitness Centre
438 Coventry Road, Small Heath
Birmingham, B10 0UG
0121 7726822
Review date: 17th December 2006
What went well:
- When Katherine came home, she did not stress about her work life, as she used to do. She very rarely thought about home and work when she participated in extra activities.
What did not work:
- When Katherine reached work, she found herself doing over-time, and forgot that she was suppose to be having a family dinner at home- which she herself had organised. This was a great disappointment to her family. Also, she found it very difficult to socialize in the clubs.
Need to improve on:
- Try to arrange your life a bit more. Go out and socialize more with the club members, as this will help you find new friends to go to the gym with.
Signature of client:
Date: 17th December 2006
Signature of health advisor:
Date: 17th December 2006
Additional notes:
Weekly report (Long Term)
Clients Name: Katherine Lewis
Age: 27
Date: 18th December 2006
Personal targets for this week:
- P/I- Carry on following the ‘future diet/exercise’ plans.
- S- Begin to make friends with different backgrounds.
Support given:
- Cook foods for family on Sundays so that you could get to know them better and your relationship with the family grows closer.
- Friends and family.
- Socializing places- library, restaurant.
Alternative support:
Restaurant-
-
- members.aol.com
17 Thorp St, Birmingham - 0121 622 1668
Review date: 1st January 2007
What went well:
- Katherine was able to stick to the diet/exercise plans. She was also able to make some new friends from different backgrounds, so that they have a mixed variety of things to discuss about.
What did not work:
- My client did follow the diet plan, but sometimes missed out on some of her regular eating patterns. Katherine tried to cook up a dinner for her family but, missed out on one of the evenings, as she had to go to work for an urgent meeting.
Need to improve on:
- Katherine needs to stick to the diet plan more, as this will help her improve her weight and body structure. This will also help her to concentrate more, intellectually.
Signature of client:
Date: 1st January 2007
Signature of health advisor:
Date: 1st January 2007
Additional notes:
Weekly report (Long Term)
Clients Name: Katherine Lewis
Age: 27
Date: 18th December 2006
Personal targets for this week:
- P- To carry on checking that, you are on target and confirm your calorie intake, with your practice nurse.
- E/I- Improve your self-esteem.
Support given:
- Her family give her support and encourage her to improve her self-worth.
- Her family and friends are willing to go with her to see the practise nurse.
Alternative support:
Family outings: National Sea Life Centre
Brindley Place
Birmingham
West Midlands
B1 2HL
Tel: 0871 716 2612
Review date: 16th January 2007
What went well:
- My client can open up to her friends about her past problems, and how she got over them. Her family also gave Katherine the opportunity to open up, and discuss her situations with them.
What did not work:
- She agreed to talk freely with her family, although did try and go out with her family, but unfortunately they were to busy, so the trip got cancelled. Although, my client went to see the practice nurse, she found that she did not receive any useful advice from her.
Need to improve on:
-
She will; need to carry on the way she is going as this will help her: physically, emotionally, socially, and intellectually upgraded.
Signature of client:
Date: 16th January 2007
Signature of health advisor:
Date: 16th January 2007
Additional notes:
After The Health Plan
Client’s Point Of View:
“I feel that there have been many changes throughout the past couple of weeks the health plan. I think for the first time, I can feel a great improvement with my body-both on the outside as well as the inside. I am much happier than before, as I have more time to spend with my family and friends, and have noticed that I can talk more openly to them, then before. My husband and I, finally get to spend some quality time, together, with each other, I have also arranged more outings with my children, and I feel that the bond with my children is becoming much more stronger.
On the other hand, I still am clear that there is a long way to go before, I can see any large improvements in my ‘Health and Well Being’. I also know that my life style will also change dramatically. Although I am 100% ready for the changes and improvements will be better in my life style.
I will carry on going along with any diet/exercise plan, as I feel that if I want my weight to become stable and healthier, I will need to follow the diet exerciser very carefully. In order t be entirely fulfilled with my plan, I will need to continuously meet the practise nurse and go to the gym, as this will help me a monitor my progress, and the nurse could tell me where I will need to develop.
I would like to personally thank all my people who have supported me through the health plan. They are; practice nurse, my health advisor, my friends and family who advised and supported me through this health programme.”
Signature:
Date: Wednesday 16th January 2008
My point of view:
“During the health plan, I have realised that my client has made many improvements to her body and her whole lifestyle. She has also shown that she wanted to recover from her major illnesses, as she has worked very hard to be where she is at now.
For the first couple of weeks, Katherine did not enjoy the activities which I had set for her. But, she gradually improved as she knew that by participating more in the activities, her fitness levels would become more advanced. Although, Katherine did not do well in anything I set her, for the first 2 weeks, but then put all her effort in 100%, and this helped dramatically.
When I situated my client’s targets, she was very pleased at the progress she was making, she could see her improvements on the weekly reports I made, and took the ‘things which she should improve on’ and used them in her lifestyle. I think that Katherine is a very determined person, and will complete the health plan with ease. I also am clear that, Katherine’s family and friends will carry on supporting my client throughout the rest of her life.
To conclude this, I feel that Katherine has done an amazing job, and her reward for all this will be the improved look of her body outside and inside. And if she continues to follow this health plan correctly, she will be a much healthier and happier person.”
Signature:
Date: Wednesday 16th January 2008
Future advice
My future advice to my client would be; carry on following the ‘diet/health plans’ as this will be the key to a better and happier lifestyle for Katherine.
Brief introduction
Underneath, I have shown a table containing the review of the targets: short, medium, and long terms. I have also stated the advice for each of the targets.
Conclusion
I will advice my client next to, carry on following the future; ‘diet and exercise’ plans. She should also regularly check her calorie intake, and continue to visit the practice nurse. She should always keep her P.I.E.S. constructive and healthy. My client will see the massive improvements if she carries on following the health plan. She will hopefully be a healthier looking person, but will also feel healthier. Her health and well being will advance more, as she goes on following the plans. Will also guaranty that once the health plan is successful, Katherine will be smiling much more.
These are the links that helped me do my health and social coursework;
- HOW DOES SMOKING AFFECT THE BODY?
/
- DRINKING AND THE AFFECTS ON THE BODY
BEFORE:
My client- Katherine Lewis
This is what my client thought first of herself-
Physically:
Katherine had done exercise which was more than necessary. She went to the gym about 5 times a week, which had really been a waste of time, as she was underweight and there was no need for her to exercise. This is because she did not have many calories which needed to be burnt off by exercising. Her diet was mainly made up of; unnourished foods and she did not eat as much as she did not either have the time, or did not enjoy eating at all. She was anorexic and also had the eating disorder of being bulimic. Although, my client is a very clean and hygienic person; she likes working in areas which are clean, and thought this was very important. However, my client was a very heavy smoker and alcoholic.
Intellectually:
My client worked 6 days a week and only gets Sundays off to spend with her family and friends. Although, the Sunday Katherine sort off she did not make any use of it as she slept most of the day as she was very tired. My client was a very independent person, and did not at all try to be dependent’s he did not think she was self-worth and she had a low self esteem. Katherine was often stressing about either work or her family this made her become a very paranoid and anxious person. However she was a very hard working person.
Emotionally:
Katherine was always depressed because, she is always being caught up in her work. My client does have the ability to go out and socialize; but feels that she does not have the confidence to go out and make new friends. By doing this she thinks bad of herself, which makes her feel disappointed about herself. Katherine was always sad and unhappy, most of the day which did not improve her motherly skills with her children.
Socially:
My client had some friends but didn’t have a close nor good relationship with both her family and friends. And had a problem against talking to other people and making new friends, as she did not feel self-worth and didn’t have the self-esteem to boost her confidence. She wouldn’t organize day trips to enjoy her holidays, and whenever she tried something would go wrong.
AFTER:
My client- Katherine Lewis
But now my client is doing more of this-
Physically:
Katherine now does a regular amount of exercise. My client takes part in more exercise activities; she has also widened her variety in activities, which has been really good for her physical status. She takes part in things like: swimming, aerobics, dance- for about an hour each session, and jogging, walking for about- 30 minutes each day. Katherine has improved her diet dramatically as, she now eats more than usual and has a very spread out and balanced diet plan. Her diet is mainly made up of now, more nutritious and healthy foods; she also replaced her diet of made up of mostly liquids, to fruits and nuts. On the whole Katherine has a stable weight which is really good for her body, and is slowing becoming a much healthier person from before.
Intellectually:
My client now gets up earlier and goes to bed quicker, as this refreshes her for the morning activities which lay ahead of her. This also gives her the opportunity to think straight, and get ready for the challenges which may come ahead of her. She has begun thinking more about the positive things in life, rather than always thinking about the negative sides of things. She has stopped stressing so much about her work and home life, so this gives her a better view upon things, such as how to go solve a problem, or how to spend more time with the family. Her intellectual thinking skills, has improved massively, as she feels more confident about herself.
Emotionally:
Katherine goes out more, and opens up her feelings much more than she used to. She feels that she has become a more self-assured person, so this encourages her more to go out and spend some time with her family and friends. My client, who used to feel that she had no one to discuss problems with, has now realised that her family and friends are always there to talk to and to confide with. She used to always be depressed, but now has found resolutions to that, and is happier than before. She emotionally is aware that she has many people around her, who will support and provide her with company if she ever needs it. Overall, my client is a supplementary joyful person, than before.
Socially:
Katherine has now started socializing more than she used to. She invites family and friends over to her house, to get to know them better. This has assisted her a lot, in her socializing skills; she goes out more and has meet many new friends; which are all from different backgrounds. She has the confidence, and the assurance to create a relationship with new people.
