Healthcare Program Planning and Evaluation in Public Health Report

This report presents an interview with Derek Mitchell, a 52-year-old dishwasher, detailing his lifestyle and health history. The report explores his smoking habits, occupational exposures, and the development of chronic bronchitis and asthma. It examines his lifestyle as a teen, young adult, and adult, highlighting the impact of smoking, poor nutrition, and exposure to harmful dusts in his mining job. The analysis includes references to relevant research on the effects of tobacco, occupational hazards, and lung diseases. The report concludes with Derek's current lifestyle, his management of chronic conditions, and the importance of managing cough-related lung disorders to prevent further complications.

Running head: HEALTHCARE
Program Planning and evaluation in Public Health
Name of the Student
Name of the University
Author’s Note

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Table of Contents
Background of the interviewee..................................................................................................2
Lifestyle as a teen.......................................................................................................................2
Lifestyle as a young adult..........................................................................................................2
Lifestyle as an adult...................................................................................................................3
Current lifestyle..........................................................................................................................3
Reference....................................................................................................................................4

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Background of the interviewee
The interviewee Derek Mitchell is 52 years old, and is currently working as a
dishwasher in Benedict’s restaurant situated in Greenwood Village, Colorado, USA for 2.5
years. He formerly employed as a miner in Newmont Goldcorp for 25.5years. He is fourth
among his five siblings, all of whom are dead along with his parents. His wife died about 7
years ago and is living alone ever since. He have three children, two daughters and a son who
are financially independent and does not stay with him in his house. Derek was diagnosed
with acute bronchitis 3 years back, and hence, had to leave his previous job as a miner.
Lifestyle as a teen
Derek was a smoke addict and consumed about fifteen cigarettes per day as a
teenager. He first started smoking when he was 14 years old. Gibbs, Collaco and McGrath
Morrow (2016) suggested that tobacco inhalation can impair proper lung development and
can result in chronic diseases in near future. Derek’s father was the only earning member in a
large family and so he was not properly getting enough nutritious food for proper growth. He
had to take enough responsibilities and had to walk 2km to reach school every day, as they
could not afford public transport regularly for everyone. Therefore, he had to do extreme
physical activity, and due to financial status, he was exposed to enough stress.
Lifestyle as a young adult
Derek first got his job as a miner at the age of 24 years. He was already a chain-
smoker, and due to exposure to harmful metallic dusts at the mine, the condition aggravated.
He developed asthma after 2 years and had to wear mask at his work compulsorily. Tynes et
al. (2018) revealed that professional exposure to air pollutants could lead to respiratory
diseases among workers. In Derek’s case, smoking and airborne dusts both attributed to the

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development of his asthma. Due to his respiratory issues, he decreased his physical activity
and had to take public rides to his office.
Lifestyle as an adult
He continued to work as a minor to support his family. Then his wife died and his
children left him, so he had to do all household jobs like cooking, washing, cleaning all by
himself. At the age of 49 years he was diagnosed with bronchitis and was obligated to leave
his job. Continuous exposure to smoke and dust can lead to development of interstitial lung
disease even lung carcinoma (Khamis et al. 2019). He then had to join as a dishwasher in a
restaurant.
Current lifestyle
Derek is now all alone in his home performing his daily jobs all by himself. He has
decreased his physical activity and cannot do strenuous job because of his chronic asthma and
bronchitis. However, now, he has discontinued smoking completely. He takes his daily-
prescribed medicines and inhaler for controlling his disease. He tries to eat healthy food and
takes lot of fluids but abstains from caffeine or alcohol because of his bronchitis. Schmidt
(2017) in his study referred that managing cough related lung disorders is important to
prevent further complications.
.

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Reference
Gibbs, K., Collaco, J. M., & McGrath-Morrow, S. A. (2016). Impact of tobacco smoke and
nicotine exposure on lung development. Chest, 149(2), 552-561.
Khamis, W., Freynet, O., Sese, L., Bernaudin, J. F., & Nunes, H. (2019). Prognostic impact
of mediastinal lymph nodes in interstitial lung diseases: is environmental exposure the
offender?. American journal of respiratory and critical care medicine, 199(8), 1040-
1041.
Schmidt, S. (2017). An OTC approach to managing cough. SA Pharmacist's Assistant, 17(1),
9-11.
Tynes, T., Løvseth, E. K., Johannessen, H. A., Sterud, T., & Skogstad, M. (2018). Interaction
of smoking with respiratory effects of occupational dust exposure: a prospective
population study among Norwegian men. ERJ open research, 4(2), 00021-2018.