Running Header: REALAGE PAPER 1

Partner Health Promotion

Haley VanWormer
Ferris State University


REALAGE PAPER 2

Abstract
After completing the Real Age quiz developed by the infamous Dr. Oz, my partner
submitted the results to me. There were a few places that were lacking and making his Real
Age older than his numerical age, such as a lack of exercise and poor nutritional habits.
However, there were also a few things decreasing his Real Age such as getting an adequate
amount of sleep every night and a healthy breakfast routine. It was determined an exercise plan
needed to be constructed. While taking into account a busy schedule and daily obligations, a
feasible goal was determined. This consisted of increasing weekly activity while also leaving
time available to complete other daily tasks. Possible exercises to maximize the small amount of
time available were also discussed. Ultimately my partner thought it would be relatively easy to
stick with this exercise plan and planned to adhere to it.












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Partner Health Promotion
Assessment
Based on the results of the Real Age Quiz by Doctor Oz, my partner was a half year
older than his numerical age. There were several factors decreasing years, but several also
increasing age. A few positive aspects were proper sleeping patterns and daily breakfast routine.
A regular sleeping pattern with 8 to 10 hours of sleep a night was decreasing age greatly.
Adequate sleep increases memory and ability to perform fine motor skills throughout the day
(Al-Sherman, 2013, p. 1625). Regularly eating breakfast is also essential for a healthy lifestyle. It
allows the body to start the day off well nourished and jump starts all functions of the body to
run properly and efficiently throughout the day. A proper breakfast can increase metabolism as
well. Skipping meals slows the bodys metabolism and can actually cause weight gain and
malnourishment (McCory, 2011).
Although there were many positives there were also quite a few major negative aspects of
his lifestyle that were increasing his age. There were three things that were mentioned repeatedly
throughout the quiz that were adding on years: stress, inadequate diet, and a lack of physical
exercise. Much of the stress he was facing was due to financial and major life stressors. Stress
can have negative impacts on the body such as an increased risk of a myocardial infarction and
impaired mental health such as increased rate of depression and anxiety (Wosu,
Valdimarsdottier, Sheilds, Williams, & Williams, 2013). A nutritional diet also needs to be
followed to ensure good health. There were many nutritional needs not sufficiently met on a
daily basis including adequate grain, fruit, and vegetable intake as well as an abundance of junk
food consumed regularly.
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Another negative that was mentioned multiple times was a significant lack of exercise.
Although his job as a nursing technician in an emergency department kept him significantly
active and required him to be on his feet for many hours, he did not exercise on a regular basis
outside of the activity at work.
Wellness Diagnosis
My partners activity level was very limited at the beginning of this risk reduction
project. This was partially due to a consistent schedule of sitting in class for extended periods of
time, driving over 100 miles a day, and the need to complete hours of homework regularly.
There are many health consequences related to physical inactivity such as an increased risk for
heart disease, stroke, diabetes mellitus, and depression (McPhail, 2012). Although he was not
over weight and his blood pressure was low, not being physically active put him at risk for an
increased weight and eventual high blood pressure and cholesterol. My partner was very well
educated and understood the significant risks associated with not being physically active and was
prepared to make a healthy change. Because of this a wellness diagnosis fitting for this client
was a readiness for healthy seeking behaviors related to increased physical activity as evidenced
by an expressed interest in increasing physical activity.
Planning
Exercise was a major aspect that was focused on in an effort to decrease his Real Age
and overall health. It was mentioned several times throughout the quiz that he should attempt to
work more time into his daily life for some sort of exercise routine. According to the Centers for
Disease Control (CDC) an adult should get at least 75 minutes a week of intense aerobic activity
(CDC). The goal of this wellness intervention was to increase his activity to at least three 30
minute workouts a week to meet the CDC guidelines. To do this, we came up with a schedule to
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stick with as well as a training program that best suited this client, help keep him actively
engaged and interested which encouraged adherence to the behavioral change.
To help determine a proper workout routine I asked my partner for a copy of his weekly
schedule, which is included in appendix A. It was difficult to come up with a consistent time
from for him to exercise with school, work, and family duties. The goal was to fit in a half hour
workout at least three times a week to start, within a month he would increase the amount time
and frequency of his workouts if able. He stated he would prefer not to work out on the days he
had to work because he needed to come home and complete homework before bed. It was
determined the best days to schedule a work out was Monday, Wednesday, and Friday. Once he
built this into his schedule for three to four weeks he would then increase it to working out five
days a week. The overall goal, however, was to at the very least stick with the regularly
scheduled three days a week.
It was determined it would be best to keep timed goal of only a half an hour because he
still wanted time available for his wife and children, as well as homework on a daily basis. If he
felt he was able to extend his workout beyond the allotted thirty minutes, it was greatly
encouraged. The need to stay on track with the exercise plan was emphasized. Once it became
engrained into his daily routine it would seem effortless, which would drive him to continue with
the exercise program.
Once a schedule and time allotment was determined we explored options for what sort of
exercise would be best for him. Joining a gym was not an option because the client did not want
to spend t money on a monthly gym membership. I also asked him to take a quiz to help narrow
down what the best form of exercise would be best for him, this way he could stay actively
engaged and would allow for better adherence to the plan. A copy of the quiz and the results can
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be found in appendix B. Upon completion of a quiz published by CBS News it was determined
he would benefit most from participating in non-competitive exercises, with a partner, and doing
activities that focus on speed. I asked if there was anyone he could workout with on a daily basis
and he said possibly his wife, but their schedules didnt always match up
One exercise that was a fantastic way to get plenty of exercise in a short period of time,
can be based on speed, and could also be done with a partner was running. It didnt require any
extra equipment other than tennis shoes and comfortable clothes. Running is an aerobic activity
which has been proven to decrease hypertension, rates of obesity, and cholesterol (Kokkinos,
2012). I then asked him to download a free application for his cell phone called Run for Pink.
It was a training program for a 10 kilometer race developed to help beginning runners train for
races. It consisted of three days a week and workouts that were roughly 30 minutes long. The
aaplicated prompted the listener to jog and walk at different timed intervals. The ultimate goal of
the program was to be able to run a complete 10 kilometer race at the end of the 14 weeks. He
did not have to sign up to run a 10 kilometer race necessarily, but it was an easy way to get him
into a consistent running program. It was also suggested whenever his wife was available to see
if she could go with him, since the quiz suggested he workout with a partner. If she was
unavailable, he could run with his dog if he felt he was up for it. Running with a partner, human
or canine, would be a great way to make it exciting and more enjoyable.
Another exercise that could be beneficial in the short periods of time this client had
available was high intensity interval training. According to an article published by the Royal
Australian College of General Practitioners (RACGP) this type of training consists of short
periods of high intensity exercise for 30 seconds to several minutes followed by low to moderate
exercise for 1-5 minutes and continuing this pattern for 30 minutes. The article stated this type of
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exercise program allows for equal or greater health outcomes than consistently moderate
exercise. It was found to improved cardiac function, decreased LDL-cholesterol levels, increase
HDL-cholesterol, and decrease over all body mass (Shiraev, 2012). In the case of this client he
could initiate high intensity interval training either through running or bike riding. The use of this
type of training also showed a better rate of adherence than other exercise programs because it
decreases the rate of boredom as well as the time needed to get similar results (Shiraev, 2012).
Transtheoretical Model
According to the text book Health Promotion in Nursing the transtheoretical model is
the theory of behavior changes progressing through five distinct stages. The first stage is
precontemplation, which is before the subject of change is even thought about by the client. The
second stage is the contemplation stage; this is when the client is thinking about making a
change. The third stage is preparation, which is serious thought and planning to make a change.
The final two stages are action and maintenance. Action is the stage that involves that actual
state of change occurring. This is the stage the client is in when they are actively making a
behavioral change. Finally, the maintenance stage is keeping up with the change and making it
part of everyday life and behavior (Maville, 2013, p. 44).
In the realm of the transtheoretical model, before the Re al Age quiz was taken my
partner was actively in the contemplation stage. He was thinking he should find time in his busy
schedule to increase his physical activity, but he didnt put forth a true effort to make the change.
After the quiz was taken he progressed into the preparation stage where I assisted him with
coming up with a realistic goal and weekly scheduled time to fit in an exercise program. After
we came up with the program he was actively in the action stage where he was participating in
the behavioral change. Once involved in actively maintaining the change for more than six
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months he will be considered to be in the maintenance stage of the transtheoretical model. This
client was more than happy and willing to make this change. Being eager and ready for a
behavioral change made it much easier to stick with it and make the change part of everyday life.
Evaluation
After a week of attempting the new workout regimen we looked at the changes. He had
successfully met the initial goal of exercising three times a week for at least thirty minutes in the
first week. He stated he felt a little less stressed about school and everyday life stresses, which
happened to be another major factor that contributed to his increase in real age according to the
quiz. He also thought it would be relatively easy to stick to the simple work out plan. I reminded
him of the goal to increase to five workouts a week in two to three weeks and asked if he thought
that would be possible. He stated it would be possible, but might not be as easy to stick with as
only three days a week.
The goal of this plan was to increase my partners overall activity level. By making up a
simple schedule and adding in tools, such as the training application on his phone, we were able
to successfully allow him three 30 minute sessions of physical activity in one week. The ultimate
goal was to increase the number of workout sessions to five days a week within a month of
starting the program. However, with a demanding schedule, there may be some weeks that goal
may not quite be obtained. The important detail of this plan was to encourage him to workout at
least three times a week for at least thirty minutes. The client felt this is a fair and achievable
goal and would easily be met.
With increased regular physical activity my partner will experience a decrease in years
according to the Real Age quiz. As his activity level increases, his anxiety and stress level may
decrease which are two things that are also increasing his Real Age. Within the week of
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initiation of the plan he had already experienced a decrease in stress. The exercise program that
had been developed for this client was simple, and easy to adhere to. With consistency and
motivation it will soon become routine and part of his daily activity.




















REALAGE PAPER 10


References
Al-Sherman, A., & Siengsukon, C. F. (2013, December). Sleep enhances learning of a functional
motor task in young adults. Physical therapy, 93(12), 1625-1635. doi:10.2522/
ptj.20120502
Kokkinos, P. (2012, October 30). Physical activity, health benefits, and mortality risk. ISRN
cardiology. doi:10.5402/2012/718789
Maville, J. A., & Huerta, C. G. (2013). Health promotion in nursing (3rd ed., pp. 43-44). Clifton
Park, NY: Delmer.
McPhail, S., & Schippers, M. (2012, April 23). An evolving perspective on physical activity
counseling by medical professionals. BMC family practitioners, 13(31).
doi:10.1186/1471-2296-13-31
McCrory, M. A., & Campbell, W. W. (2011, January 1). Effects of eating frequency, snacking,
and breakfast skipping on energy regulations: symposium overview. The journal of
nutrition, 141(1), 144-147. doi:10.3945/jn.109.114918
Physical activity: how much physical activity does an adult need (2011, December 1). In Center
for disease control and prevention. Retrieved April 2, 2014, fromhttp://www.cdc.gov/
physicalactivity/everyone/guidelines/adults.htm
Physical activity improves quality of life (2014, April 2). In American heart association.
Retrieved April 2, 2014, fromhttp://www.heart.org/HEARTORG/GettingHealthy/
PhysicalActivity/Physical-activity-improves-quality-of-life_UCM_307977_Article.jsp
Shiraev, T., & Barclay, G. (2012, December). Evidence based practice: clinical benefits of high
intensity interval training. Australian family physicians, 41(12), 960-962.
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Singer, M. (2007, January 17). The "exercise personality" quiz. In CBSNews. Retrieved April 5,
2014, from http://www.cbsnews.com/news/the-exercise-personality-quiz/
Wosu MPH, A., Valdimarsdottier PhD, U., Sheilds PhD, A., Williams PhD, D., & Williams
ScD, M. (2013, December 20). Correlates of cortisol in human hair; implications for
epidemiologic studies on health effects of chronic stress. Annals of epidemiology, 23(12),
197-811. doi:10.1016/j.annepidem.2013.09.006

















REALAGE PAPER 12


Appendix A
Partners Weekly Scheudle
My partner was asked to share a copy of his weekly schedule. His schedule constantly changes
depending on the days he is required to work.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Work
7:00-19:30
Every
Other
Weekend
Class
9:00-14:50
Clinicals
7:00-16:00
Class
12:00-14:50
Work
7:00-19:30
Class
9:00-11:50
Variable
on dates
Work
7:00-19:30
Every
Other
weekend
























REALAGE PAPER 13

Appendix B
Exercise Personality Quiz
To help determine what type of exercise would be best suited for this client I briefly
searched the internet for a quiz to help determine what the best choice for my partner
would be. This quiz has been published by CBS News on their website. The client simply
had to answer the questions in each portion and I determined the results based on his
answers and the key. His answers are highlighted in yellow.

The Exercise Personality Quiz
Part 1:

1. When planning your next vacation, you would love to be able to:
A. Head off alone to chill out and/or see some sights
B. Go visit a friend or take a romantic vacation with your mate
C. Get away with your family to a place that has something for everyone
D. Go on a cruise, take a group tour, share a ski cabin, or rent a villa with a bunch of
friends

2. When coping with bad news such as a medical diagnosis, you are most likely to:
A. Keep it to yourself
B. Share your feelings with a trusted confidant
C. Tell your close friends and family so they can offer support
D. Spread the news so others will understand what you're going through or offer
suggestions

3. If you were looking for a new job, you would like to be:
A. An entrepreneur with an innovative product who sinks or floats on your own merit
B. A partner in a highly regarded company so you have some support but plenty of
autonomy
C. Part of a hand-picked team that produces top-notch work
D. The head of a group in a large company with ample resources and prestigious
projects
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4. For New Year's Eve, if you could have any of these choices, you would love to:
A. Pretend it's not a holiday
B. Go out on a date with one special person
C. Celebrate with a small dinner party attended by your friends
D. Go to Times Square or a huge black-tie soiree

Part 2:

1. For dinner with friends, you:
A. Cook one of your favorite recipes
B. Pick up a rotisserie chicken or takeout
C. Try a new cuisine

2. For your next vacation, you would love to go:
A. To a spa or beach resort, Disney, or the Grand Canyon
B. Gambling in Las Vegas or Monte Carlo
C. Rafting in Costa Rica or dogsledding in Alaska

3. When driving, you:
A. Tool along in the right lane going the speed limit
B. Shift into the left lane and flash your brights at slowpokes
C. Bail out on a traffic jam even if you don't know another route

4. Your favorite kind of leisure reading is:
A. The latest literary novel or a romance
B. A mystery or science fiction
C. Nonfiction such as travel, history, or a biography

5. Picking out a video for Saturday night, you select:
A. When Harry Met Sally, Shrek, Caddyshack, or anything starring Tom Hanks or
Robin Williams
B. Speed, Matrix, Thelma and Louise, Miracle on Ice, a James Bond movie or
anything starring Bruce Willis
C. Mr. & Mrs. Smith, What the Bleep Do We Know?, The Hitchhiker's Guide to the
Galaxy, a Star Wars or Indiana Jones title
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Part 3:

1. Your dream job would be one in which you were:
A. Left alone to get your work done so you can go home at the end of the day
B. The veteran in the group who can show others the ropes
C. Promoted into a position that stretches your abilitiesyou can do it

2. In high school, your main goal was to:
A. Learn, get decent grades, and graduate
B. Get into the college of your choice or land a good job
C. Secure a spot on the honor roll or become the valedictorian

3. If you had unlimited time and funds, you would:
A. Buy an island getaway
B. Visit one place on each continent
C. Climb Mount Everest

4. In games such as charades, checkers, Pictionary, Cranium, or Scrabble, you most
hope to:
A. Have fun
B. Make a few great moves
C. Win



Scoring the Quiz

Part 1:
Which letter answer did you choose two or more times?
A: Solo
B: Partner
C: Group
D: Team
Sports fit into all these categories. You can do an individual activity such as swimming,
pick a sport that includes someone else such as tennis, sign up for a small group activity
such as golf, or join a team, as in hockey.

Many athletes love to feel like part of a team. They want the camaraderie on the field as
well as going out for a beer after practice. It's fun to fit into a group, feeling appreciated
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for your contribution to the overall performance. A team is a ready-made group of new
friends who share at least one interest. For others, the team dynamics are too political and
complicated; they'd rather go at their own pace or compete against their own best records.
Note, however, that a solo type who is also competitive may be happiest as the star player
on a team. Keep this tip in mind when you use the sport selection chart.

Making the choice of solo versus group sports also may be a question of logistics. Are
you better at self-motivation, getting into your shorts and shoes when it suits you and
heading out on your bike? Or would it help you get going to know that a whole group of
people are counting on you to show up to play soccer?

If your answers are spread between the choices, try a sport with options. For example,
many individual sports such as cycling can be done alone, with a friend, or in a group.

Part 2
Which letter answer did you choose two or more times?
A: Revel in the experience of activities at which you excel
B: Go for speed, get out in front and feel exhilaration
C: Love adventure and learning new skills


Your answers to the questions in this section could vary a lot. But if one letter came up
two or three times, that's a good start in isolating the driving force behind how you like to
spend your time.

The categories aren't mutually exclusiveyou can love both speed and adventure, for
example. Perhaps one edges the other out just a bit in importance. Put that category first
when picking your sports, but take a look at the other choices that made your list.

For example, Lorie Parch, a 41-year-old writer in Scottsdale, Arizona, picked A three
times and C twice. Lorie does love to become proficient in the sports she chooses, but she
would get bored if there were not also an element of challenge and new skills to learn.
She loves yoga, which she is adept at, but she stays engaged because there are always
new poses to master, some of which are quite hard for her.

Part 3:
Which letter answer did you choose two or more times?
A: Not competitive
B: Competitive with myself
C: Competitive with others

It may seem that all sports are competitive, but some are much more so than others.
According to the Merriam Webster Dictionary, a sport is: "physical activity engaged in
for pleasure" and the synonym is "fun." If scoring goals (or failing to score) is not your
idea of fun, then a competitive sport is not for you. On the other hand, if you need a
metric of success, then you can choose between sports that encourage you to beat your
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own personal best, such as trail running, or the ones in which you either win or lose based
on the score, such as tennis.


REALAGE RISK REDUCTION
ASSESSEMENT/ANALYSIS/WELLNESS DIAGNOSIS

Client completes Real Age Test and shares results. Based on results include one additional assessment
that is the focus of a possible health issue for client. Additional Assessments included as Appendix.

The body of the paper includes a summary of both positive and negative factors identified in the Real Age
testfactors that make your client older or younger than his/her chronological age.

Area of focus should be identified or a plan made to identify an area. Assess for readiness for change
(link to Transtheoretical Theory website is in Ferris Connectyou may adapt the format to target area of
interest). Be sure to cite sources for the data and concepts.

Two Wellness diagnoses for client


PLANNING/INTERVENTION

With your client set measurable goals---remember the basics of goalsthey need to be client -focused
and SMART goal should be Specific, Measurable, Attainable and Realistically Time-bound.

Remember you have a well educated clientso how can you help your client make choices about what
might be useful given the data, readiness for change, evidence of the effectiveness of the change
proposed? Will it do what you want it to do based on the evidence (cite it). Is it appropriate to the stage of
change? (TTM)

Remember interventions can be diagnostic, therapeutic or educational. If you want some more
information from your client it may be helpful to have him/her do a log. For example if nutrition is a focus
a food log with a column looking at triggers for decisions on what and/or when to eat. That may help
focus a more future intervention.


EVALUATION
Provide written feedback to the client. Submit copies of those when you submit the last part of this
assignment. Measure the progress your client made in meeting his/her goals. Were there changes along
the way to your clients progress in relation to the TTM? Are changes in the plan for change indicated?
Revise the plan based on progress of your client and support the changes with citations.

Assessment and Diagnosis
Rubric
Total Possible Points =200 Points Earned
Assessment 60
Real age test completed,
results interpreted and
discussed in paper;
summarize both positive and
negative

Area of risk focus discussed in
depth

One Wellness diagnosis for
area of focus; supported by

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data and research ; EBP

Planning and Intervention
Rubric
60 Points Earned
One SMART obtainable goals
should be able to measure
progress

Interventions based on EBP ~
includes one peer reviewed
journal article as a reference
for at the minimum two
interventions

Includes information re: TTM
and readiness for change


Evaluation and Reflection 50 Points Earned
Evaluate partners progress
toward SMART goals.

Reflect on any changes that
are necessary in order for
partner to reach goals; include
references/support for these
changes

APA 30
APA format and references
cited properly; scholarly
writing; spelling and grammar
accurate;

Total Points Earned: