Health Education Report: Risk Factors, Behavior, and Chronic Illness

This report examines modifiable risk factors, such as those related to ADHD, and their impact on chronic illness or disability. The report begins with a case study of a 19-year-old student with ADHD, anxiety, and depression, highlighting how these factors influence his behavior and health. It outlines factors contributing to the student's behavior and their effects on his health, emphasizing the need for behavior modification. The report identifies the social cognitive theory as an appropriate health behavior theory for explaining and intervening to modify the student's behavior. It also proposes practical strategies, like providing motivation, that can be implemented at home by a nurse or family member to encourage positive behavior changes. The role of a registered nurse in supporting the patient through these strategies is also discussed. Finally, the report suggests services that can support the patient and how they can be funded.

Health Education Narrated
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Summarizing case study along with definition of chosen modifiable risk factor behaviour......3
Outlining factors which may contribute to behaviour and how it can impact on chronic illness
or disability..................................................................................................................................4
Identification of health behaviour theory which should be appropriate for explaining the
behaviour and can be used as an intervention for modification in the behaviour.......................5
Innovation and practical strategy which can be implemented at home by client which can
encourage risk factor behaviour modification, reason for relevant strategy and registered
nursing role within strategy.........................................................................................................6
Identification of an appropriate service which can support patient and assist, also how it can
be funded along with Role of RN within strategy.......................................................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
Modifiable risk factors refers to the factor which includes diabetes, high blood pressure,
smoking, high blood cholesterol and overweight. There are many risk factors which can be
changed the behaviour of any individual. Due to this risk factor, there are different cause of
change in behaviour of the patient with chronic disease or disability. In this report, there is
discussion about different modifiable risk factors behaviour along with their contribution to the
behaviour. There is also discussion about impact of this behaviour on the chronic illness or
disability. There is also discussion about identification of health behaviour theory which can
explain appropriately about the behaviour which can used as the intervention for modifying
behaviour. There is also a discussion about innovative and practical strategies which can be
implemented within home by the patient for the behaviour modification. There is also a
discussion about the reason for the relevant strategy which can be used (Pfeifer, (2018)).
MAIN BODY
Summarizing case study along with definition of chosen modifiable risk factor behaviour
Parker is a student who is 19 years old and studying marketing. Parker has medical
history of anxiety, depression, asthma and attention deflect Hyperactivity disorder. Mother of
Parker was the one who managed and coordinated his schedules, doctor appointments,
medications and diet. When she passed away, Parker got along and lives alone and due to which
he not able to maintain his regular life and not able to control the prescribed medications and
sometimes forget to attend appointments. Due to having anxiety and poor attendance he lost his
job at McDonald's. Parker suffered form ADHA and not sure about repeated prescriptions.
Parker has been referred to the GP who has advised him to take help of occupational therapist,
physiotherapist, dietitian to take appointments within next 6 weeks. Modifiable risk factors
behaviour are some of the respective can influence the behaviour of Parker which is regarding
chronic illness or disability. Parker is suffering from ADHA that is attention deflect a
hyperactivity disorder where a person is not able to remember and always getting confused.
There is hyperactivity within patient and can’t sit still. Parker is not able to stay calm or quiet
and is also not able to concentrate on any task. Due to excessive physical movement and
excessive talking, he is not able to wait for his turn (Minakawa, (2019)). He have also the
symptom of acting without thinking which creates difficulty for Parker. Due to interrupting in

the others conversation creates a difficulty for Parker and shows the lower standard of life. There
can be the risk factor which is brain disorder. This generally affects the attention, sit stills and
and control behaviour regarding controlling body. This is the disorder which generally occurs in
children or teens. This can also continue within adulthood which is generally diagnosed as
mental disorder in children. There is no any specific risk factor is claimed regarding ADHD.
According to researcher, it has been analyzed that Genetics plays an important role in this type of
disorder or there may be a chance of getting brain injury which can lead to create the situation of
attention deficit hyperactivity disorder. There is a chance of genetic disorder can create a
difficult for the Parker to live a standard life. Due to different health related issues like
depression, anxiety, ADHD which creates high difficulty to live a standard of life. It is really
difficult to behave normal due to presence of such type of chronic disease a disability. This lead
to change in behaviour due to which Parker is not able to behave like normal people and is not
able to show himself normal during meeting with any person, healthcare professionals or
therapists (Vikulova, (2019)).
Outlining factors which may contribute to behaviour and how it can impact on chronic illness or
disability
There are some of the factor like anxiety, depression and ADHD which creates difficulty
for Parker to contribute attention towards the behaviour. This is the one which is due to having
different health related issues and due to not able to manage lifestyle in effective way, this create
a behaviour change. There is a small change in behaviour due to the disorder of ADHD which is
hyperactivity with Parker. This is one of the reason which creates the difference between change
in behaviour of the Parker. This is the one which is related with behaviour change. This
contributes an important role of ADHD which have the symptoms which creates hyperactivity
and impulsiveness within patient. This is the one due to which patient is not able to sit constantly
for longer period of time and is not able to get calm. Due to which, this create difficulty for
Parker and leads to change in behaviour (Wagenaar, (2017)). This behaviour occurs due to not
having able to wait for his chance during conversation and interrupt between the conversation of
others. Such type of activity creates a change in behaviour of Parker which leads to to impact the
chronic illness or disability. Parker need to change his behaviour in sufficient way that behaviour
should be normal and compared to other people. Maintaining the behaviour can help Parker to
positive impact the chronic illness or disability. But due to Hyperactivity, Parker is not able to

maintain his behaviour and due to which negative behaviour creates a negative impact on the
chronic illness and disability. This creates worsening of disease and unable to live standard life.
Parker has also a behaviour that he do not care about the prescription which helps provide proper
medication. Parker is not able to focus and paying attention on the prescription which can lead to
create had difficulty. Due to such type of behaviour lead to create high negative impact on
chronic illness or disability. Parker is not paying attention and fail to attend the appointment such
type of behaviour creates a high difficulty for the improvement in Parker’s health (Almustafa,
(2018)). This cause worsening of illness and can lead to create a hard difficulty for living
standard life due to factors like anxiety and depression and attention deficit hyperactivity
disorder. This creates fail to paying attention and focus on any thing. This allows Parker to
pretend like unaware of is medical treatment and due to which is not able to regular attend is
appointment with physiotherapist, dietitian or occupational therapist. This behaviour creates
difficulty to meet with therapist and his occupational therapist and dietician. They are the one
who can help Parker by providing different therapy which can be highly helpful to get better with
his health. Due to change in behaviour or of these reasons or factors creates a difficulty for
Parker to join session of therapy. Such like that, this behaviour is highly able to impact the
chronic illness or disability which can lead to create a worsening of his illness (Jørgensen,
(2021)).
Identification of health behaviour theory which should be appropriate for explaining the
behaviour and can be used as an intervention for modification in the behaviour
There is identification of social cognitive theory as the health behaviour theory which is
highly appropriate for explaining the behaviour of Parker. This can also be used as a basis of
intervention for modifying is behaviour which can be highly helpful for providing effective care
and improvement in illness. Social cognitive theory refers to a cognitive formulation of social
learning theory. This theory explains human behaviour in different terms like dynamic, three-
way, reciprocal model. There are different environmental influences and personal factors along
with interactional behaviour. This can lead to create a impact on the behaviour. This is an
emotional model which can create to change in behaviour and can be applied during counselling.
This is the intervention which can help to prevent the disease and helpful in managing
(Zainuddin, (2017)). Social cognitive theory is the one which need to be learned by the people
for their own experience which can be highly helpful in observing the other individuals actions

and their result related with their actions. There are different construction of a social cognitive
theory which are reinforcement, observational learning, self-control and self-efficacy which is
related with health behaviour change intervention. There are also some element of behaviour
modification which are generally based on social cognitive theory which is highly helpful in self-
control and self-efficacy along with reinforcement for self-monitoring, goal-setting and
behavioral contracting. Self-monitoring is highly helpful for Parker to monitor himself which is
can useful as an effective intervention. This is the intervention which can be used by Parker for
delivering of effective behaviour change and to understand by the therapist to provide better
therapy to Parker for improved health. This can be highly helpful to provide a basis for the
intervention which can modify the behaviour of Parker (Heuckmann, (2020)). Therapies can use
this theory to get connect with Parker and influence to change his behaviour which is totally
based on the theory. This can able to provide intervention and help to change in positive
behaviour. This can lead to create better improvement for the Parker with the help of therapy.
Social cognitive behaviour can help therapist, physiotherapist to provide effective therapy which
can change the behaviour of Parker in positive aspect. This can help in providing intervention
regarding modified behaviour of Parker.
Innovation and practical strategy which can be implemented at home by client which can
encourage risk factor behaviour modification, reason for relevant strategy and registered
nursing role within strategy
Motivation with providing care is an innovative and practical strategies which can be
highly implement at home by version or registered nurse. This is the one through which nurse or
any person can encourage respective behaviour modification which is highly helpful to provide
care and provide motivation to the person who is suffering from different diseases. This is the
strategy which can be implement by registered nurse or the family member with family for home
to provide better and effective care to the patient (Payani, (2020)). This is the relevant strategy
because through providing motivation can help Parker to change the behaviour in positive aspect
that can help to managed effectively about the behaviour. This can also helpful to arrange
properly and leads to improvement in illness. Motivation plays an important role in providing
care and also to motivate for changing in the behaviour. This can help in changing in the
behaviour for making modification within behaviour which can be highly helpful for Parker.
This is a reliable test strategy because nursing staff can provide effective care to the work which

can be highly helpful in providing improvement in illness (Mustamin, (2019)). It is highly need
for any person who can provide care for him because due to having ADHD is not able to make
any disease and pay any attention towards anything due to which a highly need for care by
providing care. Nursing staff is also able to motivate Parker for changing in his behaviour which
can be highly associated with the health improvement. This strategy registered nurse at the role
to play provider who can provide care to the Parker to implement the strategy by motivating him
to changing in the behaviour. This can also help to improvement in health of Parker. Registered
nurse have the responsibility to take care of Parker and provide the medication on proper time for
health improvement (Upshur, (2018)).
Identification of an appropriate service which can support patient and assist, also how it can be
funded along with Role of RN within strategy
There is a need to provide person-centre care as appropriate service to Parker. This is
highly able to assist in appropriately changing the behaviour. Present-centre care is the service
which is highly able to provide care to the patient all the time. There is a nursing staff who can
provide care to the patient within home in all over the day. There is Nurisng professional who
take care of daily activity of patient and provider medication on the time. Nursing professional is
also helpful in providing help to perform daily activity and take care of safety and care (Gottert,
(2021)). Health Care professional is also able to provide guideline to the patient to perform every
activity which should be done properly. Nursing staff is also able to provide safety and security
to the patient and to focus on their activity which should not how many person or to the patient
with the help of person-centred care. There is delivery of high level of care service to the patient
which can highly assistant the patient to perform daily activity effectively for health
improvement. This service should be funded by specific healthcare provider where registered
nurse have the role to play and service provider of person-centred care. With this strategy
registered nurse can provide effective care and helpful in changing in behaviour of the Parker.
This can also help in health improvement of patient in effective manner. Registered nurse play an
important role in delivery of care as a person-centred care to other (Wilson, (2017)). Through
this, it can be highly applicable for providing effective care service which will be recommended
by therapy and health care professionals are having role to focus on daily activity and providing
care and safety from any type of activity. This can harm the patient or any one. Due to patient,
they are also having the role of making confidentiality of the patient and should not be sharing of

information related with patient to other person. Registered nurse have also role to keep
monitoring their activity and reviewing the performance of patient and to inform healthcare
professional to evaluate the improvement in health of patient (Rofcanin, (2018)).
CONCLUSION
From above discussion, it can be concluded that there are different risk factor which are
modified payable for the behaviour due to different respective. There is change in the behaviour
of patient and can also impact on chronic disease or disability. In this report, their discussion
about the modifiable risk factor behaviour along with contribution to the behaviour by different
factors. There is also a factor of chronic illness or disability due to behaviour. In this report, there
is also discussion about identification of health behaviour theory which can able to explain
appropriately about the behaviour and related intervention. There is also a discussion about
Innovation and practical strategies that can be helpful in implementation at home to encourage a
risk factor behaviour modification. There is also discussion about the registered nursing role
within this strategy. There is also a description about appropriate service support which can able
to assist register nursing staff and the process of funding along with role of registered nurse.

REFERENCES
Books and Journals
Almustafa, (2018). Risk factors for surgical site infection following lower limb arthroplasty: a
retrospective cohort analysis of 3932 lower limb arthroplasty procedures in a high
volume arthroplasty unit. The Journal of arthroplasty, 33(6), 1861-1867.
Gottert, (2021). Development and validation of a multi-dimensional scale to assess community
health worker motivation. Journal of global health, 11.
Heuckmann, (2020). Identifying predictors of teachers’ intention and willingness to teach about
cancer by using direct and belief-based measures in the context of the theory of planned
behaviour. International Journal of Science Education, 42(4), 547-575.
Jørgensen, (2021). Compliance without fear: Individual‐level protective behaviour during the
first wave of the COVID‐19 pandemic. British Journal of Health Psychology, 26(2),
679-696.
Minakawa, (2019). Sleep disturbance as a potential modifiable risk factor for Alzheimer’s
disease. International journal of molecular sciences, 20(4), 803.
Mustamin, (2019). The Effect of Ammuntuli BijaTianang Na Beja-Beja Model on Knowledge,
Motivation, and Attitude of Pregnant Women’s Health Services in Jeneponto District,
Indonesia. Indian Journal of Public Health, 10(9), 711.
Payani, (2020). An application of the theory of planned behaviour to understand compliance with
daytime running headlights law among motorcycle riders. International journal of injury
control and safety promotion, 27(2), 188-196.
Pfeifer, (2018). Risk factors associated with non-contact anterior cruciate ligament injury: a
systematic review. International journal of sports physical therapy, 13(4), 575.
Rofcanin, (2018). The moderating role of prosocial motivation on the association between
family-supportive supervisor behaviours and employee outcomes. Journal of vocational
behavior, 107, 153-167.
Upshur, (2018). Homeless women’s service use, barriers, and motivation for participating in
substance use treatment. The American journal of drug and alcohol abuse, 44(2), 252-
262.
Vikulova, (2019). Premature atherosclerotic cardiovascular disease: trends in incidence, risk
factors, and sex‐related differences, 2000 to 2016. Journal of the American Heart
Association, 8(14), e012178.
Wagenaar, (2017). Clinical risk factors for punctate white matter lesions on early magnetic
resonance imaging in preterm newborns. The Journal of pediatrics, 182, 34-40.
Wilson, (2017). A critical review of published research literature reviews on nursing and
healthcare ageism. Journal of clinical nursing, 26(23-24), 3881-3892.
Zainuddin, (2017). Seek or destroy? Examining value creation and destruction in behaviour
maintenance in social marketing. Journal of Marketing Management, 33(5-6), 348-374.