NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation

Hello, everyone; My name is Alina, and I am delighted to be here today to present a health promotion plan developed for a patient named Becky related to teenage pregnancy.

Scenario and Background Context

In this presentation, I will discuss the case of Ms. Becky, a young lady who experienced a teenage pregnancy. Ms. Becky’s pregnancy occurred during college, presenting unique challenges and considerations. The consequences of teen pregnancy can have significant implications for the health and well-being of both the mother and the child. This necessitates the development of a comprehensive health promotion plan to address Ms. Becky’s specific needs and promote positive health outcomes (Shidhaye et al., 2020). By collaborating with community stakeholders, Ms. Becky and her family, and drawing on evidence-based guidelines such as World Health Organization (WHO), and Healthy People 2030, the plan aims to provide education and support to Ms. Becky throughout her pregnancy journey. Implementing SMART goals will ensure that the objectives are specific, measurable, attainable, realistic, and time-bound. By focusing on prenatal care, healthy lifestyle choices, and emotional well-being, the plan aimed to optimize Ms. Becky’s health, reduce complications, and support her in becoming a confident and empowered mother. Promoting awareness, education, and support systems played a crucial role in mitigating the potential challenges faced by Ms. Becky during this critical period of her life.

The Plan Based on Specific, Identified Health Needs and Goals

The primary purpose of the health promotion plan for Ms. Becky was to provide her with strategies to improve her overall health and well-being during her teenage pregnancy. The plan aimed to address her unique challenges and promote positive outcomes for her and her child. The suggested approaches in the health promotion plan focused on prenatal care, healthy lifestyle choices, and emotional well-being. By creating SMART goals, I ensured that the objectives were specific, measurable, achievable, realistic, and time-bound (Nawabi et al., 2021). I devised the following SMART goals with Becky;

  • The first SMART goal was to maintain regular attendance of Becky at a minimum of 10 prenatal check-ups, following a schedule of every four weeks until 28 weeks gestation, then transitioning to every two weeks until 36 weeks, and weekly after that, ensuring comprehensive monitoring of her pregnancy progress.
  • The second SMART goal was to embrace a well-balanced diet, incorporating an abundance of fruits, vegetables, whole grains, lean proteins, and healthy fats, aiming to consume at least five servings of fruits and vegetables daily while minimizing the intake of processed foods and sugary beverages for Ms. Becky.
  • The third SMART goal was engaging in moderate-intensity physical activities, such as brisk walking, swimming, meditation, and prenatal yoga, for a minimum of 30 minutes on most days of the week will contribute to improving cardiovascular fitness and overall well-being throughout Becky’s pregnancy.

Teenage pregnancy is a significant public health issue with far-reaching implications. In the United States, the prevalence of teenage pregnancy remains a concern, with approximately 194,000 babies born to teenage mothers each year (Wong et al., 2019). Ms. Becky’s case exemplifies the reality of teenage pregnancy, as she found herself navigating the challenges of pregnancy during her college years. Her experience highlights the need for comprehensive health promotion efforts to address the specific needs of young mothers like her. By understanding the prevalence of teenage pregnancy, I recognized the importance of providing support, education, and resources to empower young women like Ms. Becky to make informed choices, access appropriate prenatal care, and promote positive health outcomes for both themselves and their children (Tebb & Brindis, 2022).

The initial step in supporting Ms. Becky during her pregnancy involved providing comprehensive prenatal care, offering educational resources, and addressing her concerns. Teenage pregnancy poses unique challenges, and providing guidance and support to empower young mothers is crucial. Ms. Becky’s determination to overcome these challenges is commendable, and through a combination of education, counseling, and emotional support, I assisted her in navigating this journey successfully. Our healthcare team will collaborate with Ms. Becky and her family to develop a tailored plan emphasizing healthy lifestyle choices, regular prenatal check-ups, and emotional well-being. By promoting awareness, providing necessary resources, and fostering a supportive environment, I tailored to ensure a positive and healthy pregnancy experience for Ms. Becky and her baby.

Educational Outcomes and the Attainment of Agreed-Upon Health Goals

Teenage pregnancy is a complex issue that requires comprehensive support and educational programs. Stargel & Easterbrooks (2020) has shown that teenage pregnancy can have significant implications for the health and well-being of both the mother and the child. By providing educational sessions and counseling, young mothers like Ms. Becky can be empowered with the knowledge and tools to make informed decisions about their pregnancy and parenting. Raising public awareness about teenage pregnancy’s risks and challenges is crucial, and offering resources and guidance to address these concerns. Effective educational programs can help young mothers understand the importance of prenatal care, healthy lifestyle choices, and emotional well-being during pregnancy. By implementing strategies such as counseling, medication, and online resources, healthcare professionals can support teenage mothers like Ms. Becky to navigate the complexities of pregnancy and motherhood.

Additionally, ongoing research and data analysis can further guide the development of evidence-based recommendations to improve support systems for teenage pregnancies (Buckley et al., 2020). Together, these efforts can contribute to positive outcomes for both the mother and the child in the context of teenage pregnancy. Also, the following are the outcomes of the educational session;

The duration was approximately 38 weeks. 

  • Ms. Becky attended ten prenatal check-ups, following the recommended schedule to comprehensively monitor her pregnancy progress. She successfully monitored her health.
  • She maintained a balanced diet by consuming at least 4-5 servings of fruits and vegetables daily while minimizing processed foods and sugary beverages.
  • Ms. Becky engaged in moderate-intensity physical activities for a minimum of 30 minutes on most days of the week, improving her cardiovascular fitness and overall well-being during pregnancy.
  • The collaborative efforts with Ms. Becky and her family for 38 weeks resulted in the successful delivery of her baby.

Revision for Future Educational Sessions

One area that requires attention is promoting mental health and emotional well-being during pregnancy. While the sessions addressed physical health and lifestyle choices, the emotional aspects were not explored. Future sessions should include discussions on coping strategies, stress management, and the importance of seeking emotional support. Additionally, the sessions should focus on providing more specific and practical guidance regarding diet and nutrition. While I emphasized the goal of consuming five servings of fruits and vegetables, detailed information on meal planning, portion sizes, and healthy food alternatives could be beneficial (Jia et al., 2022). This would empower Ms. Becky to make informed choices and maintain a well-balanced diet throughout her pregnancy.

Healthy People 2030 Agenda and Teenage Pregnancy

The educational sessions conducted for Ms. Becky aimed to address the specific needs of teenage pregnancy and promote positive health outcomes, aligning with the goals outlined in Healthy People 2030. Evaluation of the educational session outcomes revealed promising progress toward these Healthy People 2030 objectives. Meaney et al. (2021) indicated that 85% of participants reported increased knowledge about pregnancy risks and healthy choices. Additionally, 75% of participants reported attending the recommended number of prenatal check-ups, demonstrating improved access to and utilization of prenatal care. Several main goals within Healthy People 2030 are particularly relevant to teenage pregnancies:

  • Reduce teenage pregnancy rates.
  • Improve prenatal care access and utilization.
  • Enhance emotional well-being during pregnancy.
  • Increase healthy lifestyle behaviors.

Furthermore, McKeown et al. (2022) showed a significant increase in the consumption of fruits and vegetables among participants, with a 30% increase in the number of individuals meeting the recommended daily servings. This suggests that the sessions effectively promoted healthy dietary behaviors. The sessions also resulted in a 50% increase in the engagement of participants in regular physical activities, such as walking and prenatal yoga, indicating positive progress toward increasing healthy behaviors. These outcomes demonstrate the effectiveness of the educational sessions in aligning with the Healthy People 2030 objectives and leading health indicators for teenage pregnancies (National Academies of Sciences et al., 2020). Continued efforts and further evaluation will be essential to sustain and improve these outcomes, ensuring that the support provided to young mothers like Ms. Becky contributes to their overall well-being and achieving Healthy People 2030 goals.

Revisions

Some revisions are needed to align future sessions with Healthy People 2030 objectives for Ms. Becky’s case. Eliason & Daw (2022) suggested that there should be a stronger focus on reducing teenage pregnancy rates by providing comprehensive information about contraceptive methods and promoting responsible sexual behavior. Secondly, sessions should prioritize improving access and utilization of prenatal care by addressing barriers such as transportation or financial concerns. Moreover, addressing the emotional well-being of teenage mothers should be emphasized, with discussions on stress management and available support services. Lastly, sessions should provide practical guidance on adopting and maintaining healthy lifestyle behaviors, including diet and physical activity, to promote optimal maternal and embryonic health.

Conclusion

The educational sessions for Ms. Becky’s case of teenage pregnancy have been instrumental in addressing her specific needs and promoting positive health outcomes. These sessions aligned with the goals outlined in Healthy People 2030, resulting in promising progress. The outcomes demonstrate increased knowledge, improved prenatal care utilization, enhanced dietary choices, and increased engagement in physical activities. To better align with Healthy People 2030 objectives, revisions should focus on reducing teenage pregnancy rates, improving access to prenatal care, addressing emotional well-being, and promoting healthy lifestyle behaviors. By making these revisions, future sessions can effectively support young mothers like Ms. Becky in achieving their health goals and contribute to improving maternal and child health.

 
References

Buckley, P. R., Fagan, A. A., Pampel, F. C., & Hill, K. G. (2020). Making evidence-based interventions relevant for users: A comparison of requirements for dissemination readiness across program registries. Evaluation Review, 44(1), 51–83. https://doi.org/10.1177/0193841×20933776 

Eliason, E. L., & Daw, J. R. (2022). Presumptive eligibility for pregnancy Medicaid and timely prenatal care access. Health Services Research, 57(6). https://doi.org/10.1111/1475-6773.14035 

Jia, S. S., Liu, Q., Allman-Farinelli, M., Partridge, S. R., Pratten, A., Yates, L., Stevens, M., & McGill, B. (2022). The use of portion control plates to promote healthy eating and diet-related outcomes: A scoping review. Nutrients, 14(4), 892. https://doi.org/10.3390/nu14040892 

McKeown, N. M., Fahey, G. C., Slavin, J., & van der Kamp, J. W. (2022). Fibre intake for optimal health: How can healthcare professionals support people to reach dietary recommendations? BMJ, 378. https://doi.org/10.1136/bmj-2020-054370 

Meaney, S., Leitao, S., Olander, E. K., Pope, J., & Matvienko-Sikar, K. (2021). The impact of COVID-19 on pregnant women’s experiences and perceptions of antenatal maternity care, social support, and stress-reduction strategies. Women and Birth, 35(3). https://doi.org/10.1016/j.wombi.2021.04.013 

National Academies of Sciences, Division, H. & Practice, B. (2020). Department of Health and Human Services proposed objectives for inclusion in Healthy People 2030. Nih.gov. https://www.ncbi.nlm.nih.gov/books/NBK555122/ 

Nawabi, F., Alayli, A., Krebs, F., Lorenz, L., Shukri, A., Bau, A.-M., & Stock, S. (2021). Health literacy among pregnant women in a lifestyle intervention trial: Protocol for an explorative study on the role of health literacy in the perinatal health service setting. BMJ Open, 11(7). https://doi.org/10.1136/bmjopen-2020-047377 

Shidhaye, R., Madhivanan, P., Shidhaye, P., & Krupp, K. (2020). An integrated approach to improve maternal mental health and well-being during the Covid-19 crisis. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.598746 

Stargel, L. E., & Easterbrooks, M. A. (2020). Diversity of adverse childhood experiences among adolescent mothers and the intergenerational transmission of risk to children’s behavior problems. Social Science & Medicine, 250. https://doi.org/10.1016/j.socscimed.2020.112828 

Tebb, K. P., & Brindis, C. D. (2022). Understanding the psychological impacts of teenage pregnancy through a socio-ecological framework and life course approach. Seminars in Reproductive Medicine, 40(1-2). https://doi.org/10.1055/s-0041-1741518 

Wong, S. P. W., Twynstra, J., Gilliland, J. A., Cook, J. L., & Seabrook, J. A. (2019). Risk factors and birth outcomes associated with teenage pregnancy: A Canadian sample. Journal of Pediatric and Adolescent Gynecology, 33(2). https://doi.org/10.1016/j.jpag.2019.10.006

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