Running head: RISK ASSESSMENT 1

Risk Assessment
Cory J. Tepatti
Ferris State University

















RISK ASSESSMENT 2

Risk Assessment
In my minds eye, I visualize a healthy society where people live with no pain and a
satisfying life in comfort of happiness with no worries. In reality, there are people struggling to
survive every day with no food, shelter, and in pain, but thankfully there are people like JV who
gives his time to comfort those in times of need. I have only known JV since the beginning of
this year when we both started nursing school together and he has already made a big impact in
my life. Each one of us is a participant in this world to choose our divine destiny, whether it be a
healthy or unhealthy choice where it could lead to a happy lifestyle. I know he is making some
good choices and unfortunately some bad choices too, analyzing his real age assessment.
There is a free online website that people can take The Real Age Test that gives feedback in a
holistic way in the areas of health, feelings, diet, and wellness (Oz and Roizen, 2014). However,
maintaining a healthy lifestyle is more complex than we all think and everyone is different which
affects our chronological age.
Assessment, Analysis, and Wellness Diagnosis
When looking at the world with optimism, life could be beautiful and good. JV is a 24
year-old male who is full-time student and works part-time to support himself. The Real Age
Test determined JVs real age is 2.4 years younger than his chronological age (Oz and Roizen,
2014) (Appendix A). On a good note, he is an overall healthy man who seems to be making the
right choices. Recognizing some of his positive factors that make him younger is getting enough
sleep, having a good circle of friends, having a positive attitude, eating plenty of fruit, taking
vitamin D, walking at work and for leisure, and having a respectful mate for fulfillment.
Although, JV keeps a very active work schedule on top of his classes and time spent with his
friends and family, he mentioned that he is very happy with his life, but wishes he could work
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out a little more and eat better foods. Some of the factors from his The Real Age Test that made
him older than his chronological age are his risk of high blood pressure, his weight, his stress
lifestyle, his financial worries, not eating breakfast, and his biggest downfall he mentioned is
eating too much junk food (Oz and Roizen, 2014). Sometimes he is faced with plenty of
challenges that seem impossible, but JV is finding inner peace within himself that makes him
happy.
Using the information from his real age test, I met with JV and talked to him about
some of the nutritional areas in his life with which he is struggling. I noticed that he struggles
more in the area of his diet than health, feelings, and fitness (Oz and Roizen, 2014). After I saw
this on The Real Age Test I gave him a list of breakfast food choices he could use on his next
grocery shopping spree. They are a list of foods that I personally recommended that he could eat
in the morning to fit with his busy lifestyle in order to keep a balanced diet (Appendix B).
According to Dudek (2014), breakfast skipping tends to increase with age and seems to be
associated with other lifestyle factors that may be detrimental to health, such as dieting and
exercise (p. 310). With the exception of not eating breakfast, JV does works at the Rock Caf
and easts breakfasts when he is at work. The Rock Caf is located on Ferris State University
campus, which serves a lot of different food varieties including healthy choices.
After reviewing The Real Age Test, I noticed in the health area concerning his weight,
JVs body mass index (BMI) is 29.83 (Oz and Roizen, 2014). BMI is determined by dividing a
persons body weight in kilograms by a square height in meters (Adams, Holland, and Urban,
2014). JV stated, I know Im overweight and I know what I need to do to lose weight, but for
now I have more responsibilities which take up more of my time that interfere with my diet and
physical activities. Because of his demanding job, class schedule, family, and friends JV
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sacrifices his time to help others more than to help himself. I discussed with JV about his blood
pressure being a concern in the health area of The Real Age Test. JV mentioned, high blood
pressure runs in my family and I do know what my risks are with having high blood pressure. It
is good that JV knows the risks of having blood pressure and what he can do to lower his blood
pressure too. According to Oz and Roizen (2014), the higher your blood pressure, the more
stress and strain you put on your heart. JV knows how important it is to have a healthy heart,
which makes it easier for him to do the things he needs to do in order to better his health.
During the interview I came to decide that he is doing well in his classes and is happy
with his relationship he has with his mate, which is good for his mental and physical behavior
(Oz and Roizen, 2014). After assessing JV I diagnosed him with two wellness diagnosis. The
first diagnosis is readiness for enhanced decision making. According to Sparks and Taylor
(2010), there definition of readiness for enhanced decision making is, A pattern of choosing
courses of action thats sufficient for meeting short and long-term health related goals and that
can be strengthened (p. 835). This wellness diagnosis fits well with JVs lifestyle, because he
already has the knowledge and does make good healthy choices from time-to-time, but not all the
time. Decision making, duty of care, documentation, goal settings, continuous therapy
according to Herch and Cruice (2010), that it is best to implement therapy with people who have
long-term aphasia, but even though JV does not have aphasia it would benefit him to seek out
help in making the right and healthy decisions (p. 263). To help build up JVs confidence I
mentioned to him some of the defining characteristics that matches his circumstances related to
health. The characteristics are that JV expresses a desire to enhance his decision making,
personal values and goals, meaning of choices, risk benefits of analyzing decisions, and having
reliable evidence for his decisions (Sparks and Taylor, 2010).
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The second wellness diagnosis for JV is readiness for enhanced knowledge. I chose this
because I believe JV knows his own health condition is not healthy, but when I interviewed him I
wanted to assess his own understanding of needing to change for the better. According to Sparks
and Taylor (2010), the definition of readiness for enhanced knowledge is, Presence or
acquisition of cognitive information related to a specific topic thats sufficient for meeting
health-related goals and that can be strengthened (p. 858). JV is a smart man that has been
through a lot and has experienced some things in his life he wishes he did not. I respect him for
sharing some of the times in his life that he feels that make him a better person, thus it will not be
shared. Some of the defining characteristics JV expresses is interest in learning, capable of
explaining knowledge learned, and behaves appropriately with a professional manner (Sparks
and Taylor, 2010). According to Ladwig and Ackley (2014), a nursing intervention for readiness
for enhanced knowledge is, seek teachable moments to encourage health promotions (p. 519).
Planning and Intervention
Demonstrating a good attitude about his real age results, I asked JV to keep a food log
for a week (Appendix C). JV proofs that he does not eat breakfast, because of his work and
school schedule. He stated I spend about four to five hours a day working on homework and
studying.
Considering this information I developed two SMART (specific, measurable, attainable, and
realistically-time-bound) goals for VJ. The first goal is focused on VJ having a heathier diet.
According to Oz and Roizen (2014), there are four way to have diversity in a diet and they are hit
the produce aisle, go with grain, count colors, and aim for three. In 1998, Velicer, Prochaska,
Fava, Norman, and Redding concluded, that there are five categories that exist in the stages of
change and decision making and they are, precontemplation, contemplation, preparation, action,
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and maintenance. VJ goes through each of these stages when he is making decisions on what he
should eat. I recommended to VJ to think more about his decisions ahead of time instead of when
he is hungry he makes unhealthy decisions.
The second goal is to help JV stop eating junk food completely and change it with
healthier choices. According to Oz and Roizen (2014), there are five tips for phasing out fake
foods, rebooting taste buds, drop the poor performers, read the fine print, find replacements, and
be reasonable. It is not easy to just suddenly stop eating comfort foods that satisfies both
mentally and physically. JV already has a history of high blood pressure in his family and he
himself has high blood pressure form time-to-time, which is not good on his behalf. Thus, he
needs to make serious changes now instead of later in life. According to Oz and Roizen (2014),
processed food are contributing to the aging of your arteries and immune system, which makes
heat attacks, strokes, memory loss, impotence, and even skin wrinkling more likely. JV stated I
know I should start eating healthier foods and start exercising more to lose some weight, but for
now I have to concentrate on school and paying my bills. I see where JV is coming from and
can relate because we both are in the nursing program and the material for classes are rigorous
and time consuming.
Evaluation
Overall, JV is kind of a stubborn young man who knows what is good for him and knows
what is bad too. He works at a nice place that serves plenty of healthy food choices, but he eats
what he desires and not what is good for his health. With his work schedule being and class
schedule being strenuous he barely finds time to exercise in addition to walking and lifting at
work. In the follow up letter to VJ, (Appendix D), he was informed of the SMART goals I
prepared for him. VJ was encouraged to adopt a healthier diet by making better decisions and to
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eliminated junk food before it effects his health completely. JV knows what he needs to do and a
little motivation everyday could help in make better decisions.





















RISK ASSESSMENT 8

References
Adams, M. P., Holland, L. N., & Urban, C. Q. (2014). Pharmacology for nurses: A
pathophysiologic approach (4th ed.). Upper Saddle River, NJ: Pearson.
Dudek, S. G. (2014). Nutrition essentials for nursing practice. (7th ed., p.310). New York:
Lippincott Williams & Wilkins.
Hersh, D., & Cruice, M. (2010, May). Beginning to teach the end: The importance of including
discharge from aphasia therapy in the curriculum. Retrieved July 6, 2014, from
http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=2b9d13ac-34f0-40a4-9ebb-
76c62c422957%40sessionmgr4002&vid=6&hid=4204
Ladwig, G. B., & Ackley, B. J. (2014). Guide to nursing diagnosis (4th ed., p. 519). Maryland
Heights, MO: Elsevier.
Oz, M. & Roizen, M. (2014). Realage Test. Retrived from http://www.realage.com
Velicer, W., Prochaska, J., Fava, J., Norman, G., & Redding, C. (1998). Transtheoretical model:
detailed overview of the transtheoretical model. Retrieved from
http://www.uri.edu/research/cprc/TTM/detailedoverview.htm








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Appendix A
Real Age Results







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Appendix B
Personal Recommended Breakfast Food
Cereals:
Kelloggs Raisin Bran
Kelloggs Raisin Bran Crunch
Kelloggs Fiber Plus Antioxidants Cinnamon Oat Crunch
Kelloggs Fiber One Original Bran
Posts Honey Bunches of Oats Honey Roasted
Posts Honey Bunches of Oats with Real Tasty Strawberries
General Mills Naturally Flavored Honey Nut Cheerios
Oatmeal:
Quaker Flavor Variety Weight Control Instant Oatmeal
Quaker High Fiber Cinnamon Swirl Instant Oatmeal
Bars:
Kelloggs Nutri Gran Cereal Bars Raspberry
Kelloggs Nutri Gran Yogurt Bars Strawberry
Bagels:
Healthy Life: Bagels 100 % Whole Grain Soft Style
Lenders Bagel Shop 100% Whole Wheat Bagels




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Appendix C
Daily Food Log
Day Breakfast Lunch Dinner Snacks
Saturday Bagel with cream
cheese, yogurt,
orange juice.
1 supreme pizza,
1 beef vegetable
soup, sliced
peaches, 1 glass
of water.
Pork roast,
mixed
vegetables, bakes
potato with
butter and sour
cream, 2 cookies.
Yogurt, celery
sticks with ranch
dressing, 3 soft
drinks.
Sunday Scrambled eggs,
4 sausage links,
bagel with cream
cheese, and
orange juice.
Grilled pork
burger, French
fries, vanilla
pudding, 1 soft
drink.
Spaghetti with
meat and
marinara sauce, 2
garlic bread
sticks, and 2
glasses of milk.
Yogurt, 2 soft
drinks and 2
glasses of water
Monday No breakfast 1 foot long sub,
chips, 1 soft
drink. 2 waters.
Grilled chicken,
mashed potatoes,
mixed
vegetables, 1
glass of milk.
2 peanut butter
and chocolate
cookies and 1
glass of milk.
Tuesday No breakfast 1 large pepperoni
pizza (shared
with friend) 2
glasses of water
Grilled cheese,
tomato soup, 1
glass of water.
Cheese and
crackers, 2 soft
drinks.
Wednesday No breakfast Chips, rice
krispies treat,
and 1 glass of
water
1 double cheese
burger, fries,
chocolate
milkshake, and 1
soft drink.
Yogurt, 1 soft
drink.
Thursday No breakfast Chicken Panini,
potato soup, 2
glasses of water.
Sweet and sour
chicken, 2
glasses of water.
2 peanut butter
and chocolate
bars with 1 glass
of milk.
Friday No breakfast BBQ chicken
pizza, homemade
potato chips, and
2 soft drinks.
Pineapple tossed
salad with
raspberry
vinaigrette
dressing.
Berry yogurt
parfait and 1 soft
drink.


Appendix D
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Letter to VJ
Dear VJ,
Im sorry to inform you of this but you did not meet your goals of not making healthier food
decisions in your diet and completely stop eating junk food. We are both student nurses and we
both are supposed to be health promoters who live a life that is model for others to see and
practice. I know that your work schedule is crazy and our classes this semester are taking up a lot
of time too, but I believe that you are determined to make better decisions. Remember how
important it is to eat a high-fiber, whole grain, and lean breakfast. When the business of daily
life, leaves you feeling overwhelmed, make sure to not make unhealthy food decisions because it
will affect your health into the future. Also, remember to find time to exercise when you can
because it is great stress reliever and beneficial for your fitness. If you have any questions of
concerns, feel free to contact me.

Cory Tepatti
989-413-6756
tepattc@Ferris.edu








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

Area of risk focus discussed in
depth supported by literature

Two Wellness diagnosis for
area of focus; supported by
data and research ; EBP
journal article cited. Sparks &
Taylor wellness diagnosis.


Planning and Intervention
Rubric
60 Points Earned
One SMART obtainable goals
should be able to measure
progress. Additional
information such as food or
sleep logs placed in Appendix
of paper.

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


Includes review of information
re: TTM and readiness for
change supported by citations


Evaluation and Reflection 50 Points Earned
Evaluate partners progress
toward SMART goals
according to measured
objective date.

Reflect on any changes that
are necessary in order for
partner to reach goals; include
references/support for these
changes. Include letter to
client in appendix re:
goals/changes.


APA 30
APA format and references
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cited properly; scholarly
writing; spelling and grammar
accurate;
Total Points Earned: