RUNNING HEAD: Plan of Care Plan of Care Assessment of Abby Kaifer Alyssa Shoemaker Delaware Technical and Community College 11/28/2017Plan of Care GYNECOLOGIST Overall, Abby is a healthy young adult. Abby does not have any medical history and is not on any medications or any over the counter supplements. If Abby has any problems, she sees Occupational Health. It is important that Abby does start to see a Gynecologist. The American College of Obstetrics and Gynecology recommends that women have their first visit with an obstetrician-gynecologist between the age of 13 and 15. It is recommended that by the age of 21 a girl has an internal and external examination of her reproductive organs which includes the pelvic exam (Kids Health, 2017). Many people don’t see a doctor if they are not having problems, but it is important to follow the appropriate doctors at certain ages to prevent or catch a disease early on and before it’s too late. The Gynecologist may also give her information and confidential answers to questions that involve sex, her sexuality, her body changes, and menstruation that she may not necessarily want to ask her parents (Kids Health, 2017). Talking about sexuality is very difficult for some people. Some families also don’t talk about these types of health related issues; therefore, it is important that Abby has someone she can go to, to ask these types of questions. The health care provider can teach her about pregnancy prevention, sexually transmitted diseases, and healthy sexual lifestyles. Also, Abby can ask questions regarding any experienced pain or discomfort and treatment measures (Kids Health, 2017). My plan for Abby is that she will establish a Gynecologist by January, 2018. Abby can use the website listed in the care plan for available physicians with her insurance through BayHealth. I have also listed two Gynecologists in Milford, De. I will follow up with Abby to see if she has established this physician by January.Plan of Care NUTRITION Abby states she does not follow a particular diet and regularly tries to stay active and healthy. My goal for Abby is that she establishes a diet plan by January, 2018. One may think they are eating healthy, but it is important to follow a diet and to be eating the appropriate amount of certain nutrients. Balancing carbohydrates, healthy fats, proteins, fruits and ‘vegetables, and limiting sugars is key to developing a healthy diet plan. Grains are the main source of carbohydrates. Female young adults should have six servings of grains each day, three should be whole grains (Swenson, S., Aguirre, N., (2013). Fats should be a part of Abby’s diet but should be less than thirty percent of her daily caloric intake (Swenson, S., Aguirre, N., (2013). For young, healthy adults fats keep our skin healthy, help absorb vitamins and play a role in brain development. It is important to eat or drink protein which provides support for our bones, muscles, skin, and blood (Swenson, S., Aguirre, N., (2013). Fruits and vegetables are also an important nutrient and should be eaten daily while limiting processed sugars. Abby may also want to consider a multivitamin. ChooseMyPlate.gov has different meal options for eating the appropriate nutrients and also grocery lists for eating on a budget. I have also listed the name and address of a natural food store in Milford, De which would have good healthy options for food. The outcome will be Abby will follow an appropriate diet plan by January, 2018. SLEEP ‘Abby works night which has her at risk for a disturbed sleep pattem. Abby works her night shifts but then on days off returns to a normal schedule. Abby does not complain of having any trouble sleeping at this time, but overtime having a disturbed sleep pattern can lead to some diseases, Studies show that sleepiness can have a negative effect on attention, concentration,Plan of Care : reaction time, memory, and mood (UCLA Medicine, 2017). My goal is for Abby to establish a normal sleep pattern by March, 2018. On average, night shift workers get between two to four hours less than average (UCLA Medicine, 2017). There are certain steps that Abby can take to improve her sleep. Abby can take a nap before work (15-20 minutes), eat well, avoid aleohol three hours before bed, keep a regular schedule each week, avoid caffeine four hours before bed, wear sunglasses on the ride home to avoid sunlight, the workplace should be bright and cool, and “white noise” to help sleeping when other family members or noise may be heard outside of the room (UCLA Medicine, 2017). My goal is that Abby will feel well rested at all times and will not suffer from insomnia or any other disease relating to a disturbed sleep pattern. I provided a website for The National Sleep Foundation which provides online forums to discuss sleep and sleep disorders as well as other community resources.Plan of Care References Kids Health. (2017). Your Daughter's First Gynecology Visit. Retrieved from: hitp://kidshealth.org/en/parents/first-gyn-html Swenson, S., Aguirre, N. (2013). Needed Nutrients. Retrieved from: http://www.pamf.org/youngadults/health/nutrition/needenutrients.htm! UCLA Medicine. (2017). Coping With Shift Work: Overcoming sleep problems caused by a non-traditional work schedule. Retrieved from: http://sleepcenter.ucla.eduleoping-with- shift-workDelaware Technical Community College NUR 320 Health Assessment RN to BSN program: Plan of Care | ‘Chart stupent Name: Alyssa Shoemaker pate:1 4124117 Identified problem/need: Plan/ Interventions: Evaluation/ Outcomes ‘Community resources/ (include supporting {Provide rationale/ Referrals subjective and objective idence to justify the data) rationale) [Deficient knowledge related to [Patient "Recommended screenings for |-Will follow up with pt to see If -https://www.bayhealth.or |g/gynecological-services lack of need for gynecologist |gynecologist by January 2018 |women is recommended by _|she has established @ age 21 leynecologist by January patient states she does not Dr. Miaohou Xu, MD Ihave a primary care doctor -Establish gynecologist 802 Dupont Blvd - (302) 424-6512 Patient has not seen a Provide list of covered leynecologist in the past physicians [Bayhealth Womens Care Associates: Kemp Stacey A patient has no current medical Milford, DE history (302) 424-6511 Readiness for enhanced Patient willesablsha diet [Planahealthy balanced det | patient will eat ix servings of |-ChooseMyplate.gov nutrition related to pt states [plan and eat healthy items by grains each day (three servings |she doesn't follow any [January 2018 Balancing carbohydrates, |whole grain) [particular diet healthy fats, and protein Good News Natural Foods -Fats are less than thirty Milford, DE - (302) -Healthy balance of fruits and | percent of daily caloric intake |424-2393 vegetables Patient does like to stay active land healthy -Five to nine servings of fruits and vegetables a dayDisturbed sleep pattern related to patient lworking night shift patient works night shift but then returns normal day activities on off days [Taking stepstoimprove | loefore bed ‘Take a nap during "lunch" trateries to cope with | ea a nT i