M2 Attachment III: Sample Wellness Plan Here is an example of how you might complete this Wellness Plan for one dimension. For your assignment, be sure to complete this form for 2 dimensions of wellness as listed in your assignment instructions. Dimensions of Wellness/ Strategies/Behaviors to Potential barriers or Identify how different Evidenced-Based Patient-centered address needs facilitators for achieving members of the References functional goal goal healthcare team might support his/her wellness goal Dimension: Strategy: Barrier: Social Worker: Description: Mentor will contact Social 'Community-based Attend twice weekly Financial situation: Physical Health Worker to identify education and balance outpatient PT fixed income, difficulty programs to assist with training programs, sessions to improve affording co-pays for Goal: cost of gym membership such as Stand Up!, can balance, gait pattern, therapy services and (ex. Insurance benefits, promote long-term endurance; schedule gym membership To safely increase level etc) maintenance of outpatient home of physical activity and physical activity in safety evaluation Facilitator: develop a more active PCP: older adults.' with OT. Daughter lives nearby lifestyle to prevent future Mentor and PCP will Once the outpatient and can transport falls in a person with a discuss safety of starting a Reference: PT program is patient to PT sessions history of falling new exercise regimen and LaForest S, Pelletier A, completed, join local and YMCA classes strategies for avoiding Gauvin L, et al. Impact YMCA and attend injury given of a Community-Based Mentor’s Silver Sneakers Mentor lives in a one history of Coronary Artery Falls Prevention programs three times story house with no steps Disease Program on a week to increase to enter Maintenance of aerobic activity and Physical Therapist: Physical Activity muscle Mentor will continue visits Among Older Adults. strengthening; with PT to work on Journal of Aging and Incorporate lifestyle balance and gait training Health. changes to adopt a to avoid future falls 2009;21(3):480-500. more active lifestyle Mentor will contact Occupational Therapist: YMCA and request Mentor will work with OT membership to assess safety and information mobility in the home
M2 Attachment III: Sample Wellness Plan Here is an example of how you might complete this Wellness Plan for one dimension. For your assignment, be sure to complete this form for 2 dimensions of wellness as listed in your assignment instructions. Dimensions of Wellness/ Patient-centered functional goal Strategies/Behaviors to address needs Potential barriers or facilitators for achieving goal Identify how different members of the healthcare team might support his/her wellness goal Evidenced-Based References Dimension: Physical Health Goal: To safely increase level of physical activity and develop a more active lifestyle to prevent future falls in a person with a history of falling Strategy: Attend twice weekly outpatient PT sessions to improve balance, gait pattern, endurance; schedule outpatient home safety evaluation with OT. Once the outpatient PT program is completed, join local YMCA and attend Silver Sneakers programs three times a week to increase aerobic activity and muscle strengthening; Incorporate lifestyle changes to adopt a more active lifestyle Mentor will contact YMCA and request membership information Barrier: Financial situation: fixed income, difficulty affording co-pays for therapy services and gym membership Facilitator: Daughter lives nearby and can transport patient to PT sessions and YMCA classes Mentor lives in a one story house with no steps to enter Social Worker: Mentor will contact Social Worker to identify programs to assist with cost of gym membership (ex. Insurance benefits, etc) PCP: Mentor and PCP will discuss safety of starting a new exercise regimen and strategies for avoiding injury given Mentor’s history of Coronary Artery Disease Physical Therapist: Mentor will continue visits with PT to work on balance and gait training to avoid future falls Occupational Therapist: Mentor will work with OT to assess safety and mobility in the home Description: 'Community-based education and balance training programs, such as Stand Up!, can promote long-term maintenance of physical activity in older adults.' Reference: LaForest S, Pelletier A, Gauvin L, et al. Impact of a Community-Based Falls Prevention Program on Maintenance of Physical Activity Among Older Adults. Journal of Aging and Health. 2009;21(3):480-500.