The Client’s Age and Physical Limitations
Mrs. E, a 67-years old female patient, was brought to a nursing home by his son. She is obese and suffers from diabetes and hypertension, which require her to take medicines daily. She weighs 75kgs and likes eating high calories-foods such as refined grains, red meat, and fries. Lately, the client has also complained of joint pains and dislikes performing any physical exercise, including walking around her compound or the grocery store. Generally, elderly individuals are more susceptible to arthritis, which causes joint pains accompanied by difficulties in performing physical activities.
The Motivational Challenges of the Client
Pain and exhaustion are the main motivational challenges that prevent Mrs. E from engaging in physical activities. Apart from arthritis, being overweight also decreases a person’s motivation to exercise (Alharbi et al., 2017). The client expresses that she lacks the need to eat healthy foods since she already has diabetes and hypertension. To increase Mrs. E’s motivation, I will explain the benefits of engaging in healthy behaviors and assist her in setting SMART goals. I will also ensure that I regularly affirm Mrs. E and provide feedback during her wellness process.
The Exercise Program
Mrs. E’s exercise program will include joint-friendly, low-impact aerobic exercises joint-friendly. Such moderately intense physical activities include cycling, walking, and engaging in body awareness exercises such as yoga. The client will cycle on her bicycle at a moderate speed for 45 minutes twice weekly. Secondly, she will walk her dog slowly for 30 minutes three times weekly in the evening. Lastly, Mrs. E will participate in yoga with my guidance every morning, two days per week.
The Nutritional Program
On Monday, Wednesday, Friday, and Sunday, Mrs. E will eat two eggs, three slices of brown bread, and ½ cup of low-fat milk for breakfast, one plate of salad and ½ cup of low-fat curd for lunch, and one cup of beans and one chapatti for lunch. She will eat ½ cup of orange juice and two besan cheela for breakfast, ½ cup of rice, salad, and fish curry for lunch, and a cup of broccoli vegetable, one chapatti, and salad for dinner every Tuesday, Thursday, and Saturday. She will take one and a half liters of water daily and eat one fruit, such as an apple and watermelon, between meals. Additionally, the client will avoid foods such as potato fries, red meat, soft drinks, baked foods, and refined grains.
References
Alharbi, M., Gallagher, R., Neubeck, L., Bauman, A., Prebill, G., Kirkness, A., & Randall, S. (2017). Exercise barriers and the relationship to self-efficacy for exercise over 12 months of a lifestyle-change program for people with heart disease and/or diabetes. European Journal of Cardiovascular Nursing, 16(4), 309-317. Web.