Monday, November 12, 2012

Pender's Health Promotion Model

Assumptions of the Health Promotion vex (HPM) include the following, individuals: attempt to create living conditions to express their strange human health potential; have the capacity for self-awareness and sound judgement of competencies; value positive growth and attempt to achieve counterpoise between change and stability; seek to actively tempt their sort; interact with the environment, transforming it and being transformed as soundly; and are influenced by health professionals as part of the interpersonal environment. The HPM model in like manner assumes that self-initiated reconfiguration of the person-environment interactive patterns is required before appearance change (Pender, Murdaugh, & Parsons, 2002).

Theoretical propositions of the HPM include: inherited and acquired characteristics and prior behavior influence beliefs, affect, and enactment of health-promoting behaviors; people commit to new behaviors when they await personally valued benefits; perceived barriers may constrain effect and behavior commitment; perceived competence and self-efficacy to exe curtaile a behavior leads to increased commitment to action and actual behavioural performance; increased self-efficacy leads to fewer perceived barriers to a health behavior; positive affect toward behaviors leads to increased perceived self-efficacy and in turn in


The customer was also at fortune for ongoing hypertension due to obesity, a sedentary lifestyle, supernumerary phthisis of dietary sodium, and insufficient usance of potassium (Whelton, He, Appel, & Cutler, 2002). She was instructed to cut down on her salt intake and increase her potassium intake, along with the dietary and exercise operating instructions given her previously, regarding her problems with lipidemia (Anonymous, 2002). Again the node did not comply.

3. Pathophysiological Aspects in spite of appearance the Conceptual Framework

The client is obese and has had a record of hyperlipidemia (>5.0 mmol/l).
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The patient was originally instructed by her physician to make the following dietary changes: limit total fat intake to 35% of total calories per day, most calories (60%) need to be carbohyd regulates such as bread, cereals, grains, and rice; another 15% of daily calories need to be proteins such as meat, eggs, fish, or beans; limit saturated fats to little than 7% of total fats (shortening, lard, butter); include vegetables, fish oil colours, and olive oil for sources of fat; cut down on butter and oleo (use whipped types); limit alcohol intake (not more than one absorb per day; and eat 20 grams of soluble fiber per day. The client was also instructed to increase movement with exercises which raise the heart rate (walking, running) (Woods, 2002). The client did not comply with these instructions at all, and was given medication to lower her cholesterol. Since she is at risk for CHD, she was prescribed pravastatin at a dose of 10 mg per day. The client has not been completely compliant with her medication regime and her cholesterol level remains high.

The client has also suffered from a history of hypertension. Previously her blood pressure was >140/90mmHG. The client was at risk for ongoing hypertension due to obesity, a sedentary lifestyle, excess intake of dietary sodium, and insufficient intake of potassium (Whelton, He, Appel, & Cutler, 2002). She was instructed to cut
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