Health Promotion Report: Mr. John Smith and Parkinson's Disease

This report analyzes the health promotion needs of an 87-year-old man, Mr. John Smith, diagnosed with Parkinson's disease. The report highlights the need for assistance in daily activities due to his age, the absence of social support, and his wife's frailty. It recommends transferring Mr. Smith to an assisted living facility to provide professional support and address social isolation and poor economic stability. The report emphasizes the importance of self-management skills and interventions, including exercise and education, to address challenges related to the disease, such as falls and motor imbalances. It also discusses strategies to promote patient engagement and adherence to interventions, including informed consent and collaboration with healthcare professionals.

Running head: HEALTH PROMOTION
Health promotion
Name of the student:
Name of the University:
Author’s note

1HEALTH PROMOTION
Health promotion related need for the client:
a. Mr. John Smith is an 87 year old man with history of Parkinson’s disease. Considering
the health of both Mr. John and absence of social support from their children, he is in
need of assistance in daily life activities. His wife also cannot provide the required
assistance as she is also 84 years old and frail. As they lived in an old dilapidated home
with stairs and no support from children, assistance with daily activity is a major health
promotion need for Mr. John. They also have poor quality of life because of social
isolation and poor economic stability. Hence, health promotion in relation to self-
management skills is necessary.
b. To address the above identified health promotion, it is necessary to transfer Mr. John to
assisted living facility so that he gets professional support in activities of daily living such
as personal care, social and recreational activities and monitoring medications. Evidence
shows that for patients with Parkinson’s disease, social isolation, walking difficulty and
assistance in activities of daily living is common. Hence, social self-management
interventions can help them to better cope with disability, express their issues and get the
required support to manage daily life (Tickle-Degnen, Eldridge & Stevenson, 2017).
c.
i. To address barriers occurring due to poor physical capabilities, anxiety and poor
employment, the assisted living staffs or health promotion staffs can collaborate with Mr.
John to provide education regarding self-management skills, ways to cope with
challenges and seek support in case of daily assistance (Hellqvist et al., 2018).

2HEALTH PROMOTION
ii. Lack of skills in coping with the disease can be addressed by giving patient’s knowledge
regarding the disease and giving education regarding the precautions needed to life a healthy
life without major injuries or difficulty (Hellqvist et al., 2018).
iii. The patient may not express their desire to take part in social activities. Hence, consent
can be taken by active collaboration to tell them the purpose behind such sessions and how
interaction with other people can help them to find new meaning of life. Parkinson’s disease
nurse specialist can also collaborate with Mr. John to provide self-management support
(Wherry et al., 2015)
Health challenge related need for the client:
a. One specific health challenges related need for Mr. John includes his progression of the
Parkinson’s disease. He has history of Parkinson’s disease and loss of his driving
privileges two years ago shows that his condition has deteriorated. Parkinson’s disease is
a progressive nervous system disorder that is most common in elderly and severely
affects movement. Due to symptom of sluggish movement, stiffness and challenges with
balance, it is regarded as a major health challenge related need as it may increase risk of
fall and lack of appropriate treatment can also completely immobilize patient. Farombi,
Owolabi & Ogunniyi (2016) shows that due to motor imbalance associated with
Parkinson’s disease, falls are the most devastating consequence of the disease. Hence, as
falls may lead to fractures, immobilization and even mortality risk, addressing this health
challenge related need is necessary.
b. One strategy that can address the risk of fall and immobilization of Mr. Jones include
providing exercise intervention as it can improve muscle strength, flexibility and balance.

3HEALTH PROMOTION
By collaborating with physical therapist, the most appropriate exercise intervention
considering the patient age can be identified.
c.
i. To prevent risk of fall and immobilization for Mr. Johns and promote muscle strength,
there is a need to consider physical, mental and socioeconomic capabilities of Mr. John.
For example, considering his age, physical and mental barriers to update of exercise will
be high. To address this, personalized and tailored approach can be taken so that low
intensity exercise according to his age is planned (Ellis & Rochester, 2018). In addition,
as Mr. John has poor economic stability and lives alone, considering the cost
effectiveness of exercise program is necessary.
ii. As Mr. John may lack the capacity to adequately engage in aerobic exercise, the
physiotherapist can actively collaborate with patient to give knowledge about the purpose of
exercise, the frequency of each exercise and the technique to complete the exercise with
correct technique. They can teach exact movement strategies to overcome difficulty and
achieve maximum benefit of the intervention
iii. Lastly, informed consent requirement must be met so that Mr. John is informed about the
intervention to be taken and his consent is taken before initiating such action. Checking
patient’s desire and decisions to take action can promote adherence to the intervention and
better cooperation from patient.

4HEALTH PROMOTION
References:
Ellis, T., & Rochester, L. (2018). Mobilizing Parkinson’s disease: the future of exercise. Journal
of Parkinson's disease, 8(s1), S95-S100.
Farombi, T. H., Owolabi, M. O., & Ogunniyi, A. (2016). Falls and their associated risks in
Parkinson’s disease patients in Nigeria. Journal of movement disorders, 9(3), 160.
Hellqvist, C., Dizdar, N., Hagell, P., Berterö, C., & Sund‐Levander, M. (2018). Improving self‐
management for persons with Parkinson's disease through education focusing on
management of daily life: Patients’ and relatives’ experience of the Swedish National
Parkinson School. Journal of clinical nursing, 27(19-20), 3719-3728.
Tickle-Degnen, L., Eldridge, J., & Stevenson, M. (2017). Social Self-Management of
Parkinson’s Disease. American Journal of Occupational Therapy, 71(4_Supplement_1),
7111505116p1-7111505116p1.
Wherry, S. A., Dugdale, P., Lueck, C. J., & Das, C. P. (2015). Self-Management: Parkinson’s as
a Chronic Condition. Retrieved from: http://eprints.glos.ac.uk/6735/1/Self-Management
%20MDS%202015.pdf