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Ashley Selby
Introduction
Mr. Martin is a healthy 34 year-old male with no significant medical history. He reports
having ankle surgery and dental work many years ago and denies any other surgeries. He
currently is employed as a Texas State Trooper where he rides bicycles at an average 20-30 miles
daily. His health history assessment revealed that he is a former smoker and that there is an
extensive cardiac history in his family including his mother, father, maternal grandfather, and
paternal grandfather. Using Mosby’s Guide to Nursing Diagnosis 5th edition (2017), a care plan
was developed for Mr. Martin to identify at risk medical problems as well as to encourage
prevention for disease processes that were revealed in his family history.
During his health assessment, Mr. Martin denied any job related stress regarding his job
as a law enforcement officer and stated “I’m sure it’s just as stressful and typical as the nine to
five.” Mr. Martin also denied any safety concerns as a law officer and having to patrol downtown
Austin. Mr. Martin stated that with the few days that he is allowed off, which are “few and far
between”, he likes to race cars and play guitars. Mr. Martin’s current job as a law enforcement
officer is listed as one of the most stressful jobs in America (Renzulli, 2019). While there is no
signs of evident stress at this time Mr. Martin can still be considered at risk given his current job
title and daily duties it entails. During his assessment Mr. Martin mentioned that he was taking
preventative measures to alleviate potential stress with his hobbies of playing guitar and racing
cars. However, his hobby of racing cars could also be considered a possible element for
developing stress since it is an activity that requires great focus and can become a safety concern
INDIVIDUALIZED PLAN OF CARE: PAUL MARTIN 3
if not performed correctly. Additional information regarding techniques to alleviate stress such
as goal setting, deep breathing, and low stress inducing activities such as yoga was given to Mr.
Martin. A referral to a local yoga studio, Wanderlust Yoga, was also provided. In addition, a list
of rules and regulations from a vintage racing group he participates in was also discussed in
regards to his safety and the equipment he uses while racing cars.
Sleep
During his health assessment Mr. Martin mentioned that he is unable to obtain an
adequate amount of sleep at night due to his mind “not settling”. He denied any direct thoughts
that would lead him to his inability to sleep and denied any major stress. Mr. Martin mentioned
that he has tried to speak with professionals in the past regarding his inability to sleep and his
thoughts at night, but stated that he did not believe that the prior interventions helped him. It was
discussed with Mr. Martin different techniques to help him fall asleep at night which included
decreased caffeine intake, cooler room temperatures, and the 4-7-8 breathing technique (Semeco,
2017). He was also given information to a local sleep clinic for further evaluation.
During his health assessment Mr. Martin disclosed that his mother, father, paternal
grandfather, and maternal grandfather all suffered from heart disease. Mr. Martin also stated that
has not smoked for several years and has quit eating red meat. Since there is a genetic correlation
with heart disease and his family, Mr. Martin was given information regarding additional
preventive measures he can take such as eating a heart healthy diet, managing his stress, the
INDIVIDUALIZED PLAN OF CARE: PAUL MARTIN 4
continuance of not smoking, regular blood pressure screenings, as well as information for a local
Conclusion
As proven by his actions such as abstaining from smoking, no longer eating red meat, and
partaking in stress relieving hobbies, Mr. Martin is very proactive in his wellbeing. While
conducting his health assessment it was very noticeable that he is educated on health problems
that he may be at risk for. Mr. Martin was very grateful for the information provided to him
regarding additional resources and preventive measures he may like to take regarding the health
problems he is at risk for. He plans to continue to follow his current regiment of healthy habits as
Resources
Best ways to manage stress. (2015, January). Harvard Health Letter. Retrieved from
https://www.health.harvard.edu/mind-and-mood/best-ways-to-manage-stress
Heart disease prevention: strategies to keep your heart healthy. (2019, January 9). Mayo Clinic.
depth/heart-disease-prevention/art-20046502
Ladwig, G.B., Ackley, B.J., Makic, M.B.F., (2017) Mosby’s guide to nursing diagnosis (5th ed.).
Renzulli, K.A. (2019, March 7) The most stressful job in america pays $26,802—here are the
america.html
RMVR - rules. (2019, April). Rocky Mountain Vintage Racing. Retrieved from
http://rmvr.com/rules/allrules.pdf
Semeco, A. (2017, October 30). 20 simple tips that help you fall asleep quickly. Healthline.