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Capella 4060 Assessment 4

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    Capella 4060 Assessment 4

    Capella 4060 Assessment 4 Health Promotion Plan Presentation

    Student Name

    Capella University

    NURS-FPX 4060 Practicing in the Community to Improve Population Health

    Prof. Name

    Date

    Introduction

    Good afternoon everyone. My name is ______ and I work as a community health nurse in the Greenwood community of Columbia. Today, I am going to present a presentation on health promotion plans. First, we will find out what a health promotion plan is. If you have any queries please feel free to ask. So before taking any more time, let’s dive into our topic for the presentation today. 

    What is a Health Promotion Plan?

    A health promotion plan is an approach to improving the overall health and wellness of individuals in a community. As healthy communities build a healthy and wealthy nation; therefore, it is important to assess the health needs of a community to create a health promotion plan. There can be various health concerns that require a health promotion plan for different communities including teenage pregnancy, immunization, overweight and obesity, substance abuse, mental health, injury and violence, smoking tobacco, etc. Health promotion plan development requires assessing the health needs of the community, setting SMART goals, collaborating with related stakeholders, implementing of developed health promotion plan, and evaluating the outcomes by monitoring to see whether the health promotion plan is effective in practice or requires further revisions. 

    Tobacco Smoking – A Major Health Concern

    Tobacco smoking is one of the leading causes of death in the U.S. as it causes more than 480,000 deaths annually. Moreover, it is the major cause of developing lung cancer and chronic obstructive pulmonary disease. In the U.S. 11.5 % of adults (about 28.3 million people) are tobacco smokers of which 13.1% are men and 10.1 % are women (CDC, 2023). Tobacco smoking not only harms active smokers but also exposes non-smokers to severe health risks due to secondhand smoke. It may result in abnormal functioning of the heart, blood, and vascular systems leading to a heart attack (Centers for Disease Control and Prevention, 2021). 

    For the Greenwood community, the major health concern was tobacco smoking. As the survey report of this community showed that the majority of the community were active smokers; therefore, this health promotion plan for smoking cessation is developed for community individuals living in the Greenwood community. In the subsequent section, we will discuss our smoking cessation as a health promotion plan for this community.

    Evidence-Based Plan Based on Specific & Identified Health Needs

    The health promotion plan developed for our chosen community individuals is a smoking cessation to reduce the prevalence of smoking in that community. Smoking cessation is selected particularly as a health promotion plan as it is based on identified health needs of the Greenwood community. Furthermore, smoking cessation is an evidence-based strategy that helps smokers quit their smoking addiction. Sealock & Sharma (2023) state the benefits of smoking cessation, which are reduced blood pressure, decreased cough and phlegm production, and increased lung capacity.

    Various strategies can be employed to promote smoking cessation programs in a community e.g. following the 5As strategy of ask, advise, assess, assist, and arrange where people will be asked about smoking, advised to quit, assessed to evaluate willingness to quit, assisted in quitting and lastly arranging follow-up and support. Furthermore, counseling sessions and assisting programs to help smokers quit smoking are other strategies for smoking cessation. For example, motivational interviewing is an evidence-based strategy that involved a patient-centered approach of counseling, designed to tailor the needs of smokers in helping them quit smoking.

    Capella 4060 Assessment 4

    In motivational interviewing, counselors help smokers choose their behavior which enhances their confidence in quitting tobacco smoking (Lindson et al., 2019). Another strategy for helping smokers implement smoking cessation is joining peer-support programs and support groups where smokers will acquire an emotional, appraisal, and informational assistance from the social network member or organization working for the sole purpose of helping these individuals who want to quit smoking but are unable to do so due to heavy cravings.

    The provision of emotional and educational assistance will help smokers stay consistent in quitting smoking habits which will ultimately reduce the prevalence of tobacco smoking in communities (Seo et al., 2021). For the Greenwood community, the health promotion plan for smoking cessation consists of 9 counseling sessions and support groups which will be conducted once a week for four weeks, that will be followed by monthly sessions of counseling and support groups that will be continued for at least six months. 

    Smoking Cessation Health Goals Based on SMART Goals

    For a smoking cessation plan, it is necessary to develop goals that can be fulfilled. This requires the use of the SMART goal strategy which gives a direction in making goals that are Specific, Measurable, Attainable, Realistic, and Time-bound (Swann et al., 2022). For this session on smoking cessation, we will develop some goals which will be specific to quitting smoking, measurable in terms of numerical quantity. Furthermore, the developed goals will be practical or realistic to attain considering the resources and external assistance. Lastly, the goals will be accomplished by the end of the session. Some of the goals developed are: 

    • Participants will be able to identify two specific factors that hinder the process of smoking cessation by the end of the session (S: specific factors hindering the process, M: two factors. A: attainable because self-realization. R: easy to identify and relevant to the topic. T: by the end of the session).
    • By the end of the session, participants will be able to recognize supports whether in-person or online. (S: providing a dedicated space for individuals. M: measurable goals can be set to track their progress. A: guidance, resources, and encouragement to help participants. R: The support group’s activities, discussions, and resources are directly relevant to smoking cessation. T: a defined timeframe that runs for a specified duration). 
    • By the end of the session, participants will develop effective coping mechanisms to manage stress and cravings without resorting to smoking. (S: developing effective coping mechanisms. M: individuals’ ability to utilize alternative strategies and successfully manage stress/cravings. A: realistic to develop coping mechanisms through techniques such as deep breathing exercises, mindfulness, or engaging in hobbies. R: effective coping mechanisms help individuals address triggers. T: an ongoing effort to develop and utilize coping mechanisms throughout the quitting journey).

    Educational Session Outcomes & Attainment of Agreed-Upon Health Goals

    To evaluate the outcomes of the educational counseling session, we conducted participant discussions so they could share their experiences and perspectives on attaining these goals. In doing such healthy discussions, I found that elderly people were unable to achieve the agreed-upon health goals while the adults with greater agility were able to fulfill all those goals. The adults were able to find the two specific factors that hinder smoking cessation. Some of them considered peer pressure in the workplace or neighborhood while others mentioned their craving for tobacco smoking was the main factor that stopped them from quitting smoking.

    They also managed to find support groups available for smoking cessation and coping mechanisms for stress and craving management. Moreover, the adolescents and young adults were equally involved and attained the goal of finding physical or online support groups through their sharpness in research. They also talked about how this educational session made a profound impact on their personalities to stay consistent in avoiding smoking in their high schools and colleges and prevent smoking initiation.

    Future Revisions

    There was a clear need for future educational sessions, particularly for elderly people who have been smoking for the past 10-12 years and were unable to meet the set goals. In these educational sessions, the smoking cessation program can be tailored to the elderly needs and preferences. Moreover, a comfortable environment will be fostered by using a non-judgemental approach where they can share their concerns, perspectives, and desires related to smoking. After these discussions, a health promotion plan can be developed for them that will be best suited to their lifestyle, health needs, and preferences.

    Evaluation of Outcomes in Terms of Healthy People 2030 Objectives

    Healthy People 2030 is a U.S. Based initiative that provides a framework for improving the nation’s health over 10 years by setting some goals and objectives. Every health and community system should make health goals that align with the goals of Healthy People 2030. For tobacco use, Healthy People 2030 has developed various goals that are aimed to reduce the overall prevalence of smoking and using tobacco products. Some of the Healthy People 2030 objectives and leading health indicators in the light of smoking cessation are as follows:

    • Increase successful quit attempts in adults who smoke
    • Reduce current cigarette, cigar, and pipe smoking in adults
    • Reduce current cigarette smoking in adolescents
    • Eliminate cigarette smoking initiation in adolescents and young adults (U.S Department of Health and Human Services, n.d.)

    Our educational plan and counseling sessions for smoking cessation fulfilled some of the aforementioned healthy people 2030 objectives of smoking cessation. As adolescents and young adults managed to be aware of smoking and fulfilled the goals to eliminate cigarette smoking initiation later in their lives. Furthermore, the adults also fulfilled the goal of reducing the use of current cigarettes, cigars, and pipe-smoking adults as they were able to quit smoking any tobacco product. Additionally, our educational session was able to increase successful quit attempts in adults who smoke. 

    Future Revisions  

    Further future educational sessions can be improved to successfully align our SMART goals with Healthy People 2030 objectives. For this purpose, educational billboards can be created particularly for elderly people so that they are educated on how smoking in this deteriorating age will be destroying their organs more quickly and how their lifespan can be enhanced by quitting smoking cigarettes and related products. Moreover, educational booklets on practical tips to implement for staying consistent in quitting smoking can be helpful for smokers. The community members can join social media groups for smoking cessation where people all around the globe can be a virtual support to each other and promote smoking cessation by sharing their successful stories of quitting this harmful addiction of tobacco smoking.  This will certainly help achieve our goals set in alignment with Healthy People 2030 objectives.

    Conclusion

    We have concluded our presentation and I’ll sum up all I have discussed so far to freshen up your knowledge. Above all, the health promotion plan for the Greenwood community is smoking cessation as specific to their identified health needs. Smoking cessation is an evidence-based strategy that helps smokers quit their smoking habit by various strategies. The smoking cessation health plan for Greenwood community members was counseling sessions and support groups where they can be motivated to quit smoking to improve their health condition.

    Furthermore, we established SMART goals and evaluated their attainment. Elderly people required future educational sessions while adults and young adolescents were able to achieve them. Moreover, the achieved goals were in the light of objectives by Healthy People 2030 leading health indicators. Lastly, we discussed the need for future revisions to better align our future educational sessions with Healthy People 2030 objectives. You may ask your questions if any. Thank you!

    References

    CDC. (2023, March 28). Fast facts. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/index.htm#:~:text=In%202021%2C%2011.5%25%20of%20U.S

    Centers for Disease Control and Prevention. (2021, October 29). CDC – fact sheet – health effects of cigarette smoking – smoking & tobacco use. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm 

    Lindson, N., Thompson, T. P., Ferrey, A., Lambert, J. D., & Aveyard, P. (2019). Motivational interviewing for smoking cessation. Cochrane Database of Systematic Reviews, 7(7). https://doi.org/10.1002/14651858.cd006936.pub4 

    Sealock, T., & Sharma, S. (2023). Smoking cessation. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK482442/ 

    Seo, H.-J., Kim, S. Y., Park, D., Sheen, S.-S., Choi, M., Jang, B.-H., Lee, S. J., & Cha, Y. (2021). Peer support for smoking cessation: A protocol of systematic review and meta-analysis. Systematic Reviews, 10(1). https://doi.org/10.1186/s13643-021-01850-y

    Swann, C., Jackman, P. C., Lawrence, A., Hawkins, R. M., Goddard, S. G., Williamson, O., Schweickle, M. J., Vella, S. A., Rosenbaum, S., & Ekkekakis, P. (2022). The (over)use of SMART goals for physical activity promotion: A narrative review and critique. Health Psychology Review, 1(1), 1–16. https://doi.org/10.1080/17437199.2021.2023608 

    U.S Department of Health and Human Services. (n.d.). Eliminate cigarette smoking initiation in adolescents and young adults — TU-10 – healthy people 2030 | health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use/eliminate-cigarette-smoking-initiation-adolescents-and-young-adults-tu-10

    Capella 4060 Assessment 4