Health Promotion Project

Part 2
Trevor Curran
 § 65-year-old, Caucasian male
§ Married for 31 years. 3 Children, 1 currently living at
home.

§ Profession: Retail Manager at PGA Tours location.

About the client § Born in the US. English speaking. College Educated.
§ No cognitive impairments. No impairments with
hearing and the client uses reading glasses.
 § Ineffective coping and denial related to alcohol
consumption as evidenced by the patient’s reported job
satisfaction and stress level, the patient’s expressed
thoughts and feelings towards his drinking, and the
pattern of drinking.

Nursing § Reasons for Diagnosis

§ Risk factors and Current health problems

Diagnosis § Medication and alcohol

§ Patient views job as high stress and “cannot wait to retire”
§ The results, per the Alcohol Screening Tool, indicate the
patient has a drinking problem.
§ Patient wants to change this.
 Relation to Healthy People 2030

§ Promote healthy development, healthy behaviors, and

well-being across all life stages.
Short-term
Goals
§ Short Term Goal:
§ By October 15thth, 2022, the patient will identify 3 triggers and situations for
his drinking.
§ By October 15th, 2022,the patient will walk or exercise for 30 minutes 3 times
each week.
§ According to the patient, drinking has been a means to “calm his
nerves.”
§ Views job as high stress and taxing on body and mind.
 § Long Term Goals:
§ By December 2022, the patient will have constructed and

Long Term executed a diet plan for healthy eating.

§ By December of 2022, the patient will have contacted a
Goals therapist and began sessions regarding alternative
coping skills for managing stress and triggers related to
alcohol use.
 Teaching Plan:
Understanding Stress

§ Discussed the patient’s perception

of their stress.
§ When does he feel stress, what
happens when stressed, etc.?
§ Answered work is a big cause of
stress, some family related stress
but mostly work.
§ What usually helps reduce stress?
§ The client admits that alcohol has
been used to calm his nerves.
 § Excessive drinking has
numerous health concerns:
§ Stroke, cardiovascular
disease, a. fib, cancer, liver
disease, pancreatitis,
gallstones, decreased
immune system, etc.

Teaching Plan: (Mukamal, 2022)

§ Excess calories and
Alcohol on the weight gain

body
§ Increased blood pressure
(existing condition)
§ Increasing adverse effects
of medications
§ Additive effect to existing
stress and general
malaise.
 Moderation is key for this plan to succeed.
• Practicing mindfulness in what we bring into the body
and how we response.
• Mindful eating/drinking
• Being aware.
Teaching Plan: Mindful meditation, exercise, and journaling
Actions to • Alternative coping strategies

Succeed Family support is crucial

• Helps to stay accountable

Therapy or support groups

• Another check and avenue to become open about stress
 ALCOHOL:
Is Your Health at Risk?

What counts as ONE DRINK? What can happen from risky

or harmful alcohol use?
• People who use alcohol at risky or harmful levels are at
greater risk for health problems—cancer, obesity, high blood

= =
One drink is:
One 12-ounce can of beer
One 5-ounce glass of wine
One shot of hard liquor (1.5 ounces)
Are you at risk?
If you use alcohol, taking a look at
knowing your risks is important for
the future. Know the difference
risky or harmful drinking. You owe
What is low-risk drinking?
• For healthy adults age 65 and under:
LOW-RISK DRINKING LIMITS
On any
single
DAY
Per
WEEK
pressure, stroke, injury, diabetes, accident/death, suicide, and
cirrhosis.
• I t makes a difference both how much you drink on any day
and how often you have a heavy drinking day.
• The more drinks in a day and the more heavy drinking days
over time, the greater risk for problems.
Tips for cutting down on alcohol use
• Measure and Count. Measure drinks per standard drink
size and count how much you drink on your phone, a card
in your wallet, or calendar.
• Set Goals. Decide how many days a week you want to
your drinking pattern and drink, and how many drinks to have on those days.
your health, now and in
• Pace and Space. Pace yourself. Sip slowly. Have no more
between low-risk versus
than one drink per hour. Alternate “drink spacers”—non-
it to yourself!
alcohol drinks (water, soda, or juice).
• Include Food. Don’t drink on an empty stomach.
• Avoid “Triggers.” What triggers you to drink? Avoid people,
places, and activities that trigger the urge to drink.
MEN WOMEN • Plan to Handle Urges. When an urge hits: remind yourself
No more than No more than of reasons for changing, talk it through with someone, do
4 3
a healthy, distracting activity, or “urge surf ” and accept the
drinks on any day drinks on any day
feeling and ride it out, knowing it will pass.
** AND ** ** AND **
No more than No more than • Know your “no.” Have a polite, convincing “no” ready for
14 drinks per week
7 drinks per week
times when you don’t want a drink.

To stay low risk, keep within BOTH the single-day AND weekly limits. Adapted from US Department of Health and Human Services, NIH, NIAAA

National Institute on Alcohol Abuse and Alcoholism

• For people over 65: low-risk limits are 3 drinks a day or Helpful Links:
7 drinks a week. http://rethinkingdrinking.niaaa.nih.gov/
• Women who are pregnant or may become pregnant http://www.niaaa.nih.gov/alcohol-health
should not drink. http://findtreatment.samhsa.gov

What’s risky or harmful drinking?

• Risky alcohol use is drinking more than the single-day or
weekly amounts shown above.
• Harmful alcohol use is drinking more than the single-day

Teaching Tools
or weekly amounts shown above, and having negative
effects from drinking such as accidents, not being able to
isit www.s irt care
stop drinking, or not doing what you normally do (work,
for more resources
school, family) because of drinking.
This work is supported by grants TI025355, TI026442, and TI024226 from the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration.

§ Use of handouts and reading material (As seen above)

§ Recommended the patient also read the book, Stress:
The Psychology of Managing Stress.
Teaching Tool
 § Short Term Goals: Both goals were met.
§ The patient was able to identify 3 triggers and 3 situations
that cause him to drink.
§ The patient began to exercise 3 times a week in the form of
yard work and golfing.

§ Long Term Goals: Both goals were not met.

Evaluation § The patient has changed his eating habits but has not
produced a concrete diet plan. Additional education and
encouragement is needed.
§ The patient has not contacted a therapist. Additional
education on why a therapist would be beneficial is needed.
 § Interesting to be in this role.
§ It was made easy because client wanted to pursue change
Reaction to § Awkward due to subject matter involved
nurse-teacher § Overall, a good experience.
role:
 References
Kaye, M. (2017). Stress: The psychology of managing stress. DK.
Lopez-Jimenez, F. (2022, October 20). How alcohol affects blood pressure. Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/blood-
pressure/faq-20058254
Mukamal, K. J. (2022). Patient education: Risks and benefits of alcohol (Beyond the Basics). UpToDate.
https://www.uptodate.com/contents/risks-and-benefits-of-alcohol-beyond-the-basics
Touhy, T. A., & Jett, K. F. (2020). Ebersole & Hess' toward healthy aging: Human needs & nursing response.
Elsevier.
University of Missouri-Kansas City School of Nursing and Health Studies. (n.d.). Patient education. Patient
Education - SBIRT for Substance Abuse. https://www.sbirt.care/education.aspx
U.S. Department of Health and Human Services. (n.d.). Patient education materials. National Institute on
Alcohol Abuse and Alcoholism.
https://pubs.niaaa.nih.gov/publications/practitioner/cliniciansguide2005/clinicians_guide_cutdown.
htm
What are the problems & effects of alcoholism on Families & Marriages. American Addiction Centers. (2022,
September 14). https://americanaddictioncenters.org/alcoholism-treatment/family-marital-problems