What personal factors were influential (perceived self-efficacy)
Topic:Discuss: Health Promotion Model
Type of paper:Coursework
Discipline:Health Care and Life Sciences : Nursing
Format or citation style:APA
Read discussion case and answer the questions attached.
Donna and David Ellis are 65 and 68 years old, respectively. They have been married for 2 years. Both were single widowers for quite a while, but never gave up on the idea of finding a partner. After reading so many ads, seeing commercials on TV, and being encouraged by family, they each joined an internet singles program. Within 3 months they met, and were married a year later.
Donna has just started receiving Medicare benefits and her Social Security payment. She read through the material and discovered a program known as a “Welcome to Medicare” preventive visit and made an appointment. David has not participated in preventive health his entire life. He believes if you take good care of yourself, there is no need to see a health care provider and spend time or money. Other than smoking a ½ pack per day from age 55-65, he has been conscientious in most lifestyle choices. He has stayed physically active through being a mail carrier and playing on a men’s softball team. He eats three balanced meals per day with no snacking. He does not use alcohol or recreational drugs. Donna has had issues with maintaining ideal body weight since menopause, drinks a glass of wine daily, and takes an anti-hypertensive and a statin drug. Yet, she has the philosophy, “an ounce of prevention is worth a pound of cure.”
Donna and David have a number of conversations about his lack of preventive health care. She emphasizes repeatedly how much she loves him and wants to live many years of marriage together. David finally concedes to her request and schedules an appointment for a full physical exam with labwork and screenings—only after Donna agrees to play golf with him once a week.
Use the set of questions below to identify factors which influenced both David’s decision to pursue preventive health care and Donna’s decision to play golf with him.
1. What personal factors were influential (perceived self-efficacy)?
2. What were the perceived benefits of action?
3. What were the perceived barriers?
4. What were the interpersonal influences?
5. Identify a nursing diagnosis for David.
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