7128SOH Health Assessment in Nursing Assignment Sample

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Introduction to 7128SOH Health Assessment in Nursing Assignment Sample

David is the partner of Malik, and he is diagnosed with Chronic Obstructive Pulmonary Disease (COPD), which often results in breathlessness. It is one of the major health needs of David, followed by his increasing tendency to smoke cigarettes. He usually consumes approximately 30 cigarettes a day, which undoubtedly can bring certain serious consequences for him, as he already suffers from COPD. The excessive smoking can be a result of his stress. Moreover, sleepiness is also found in David; he is unable to sleep well. This also increases his stress, which leads him towards excessive smoking. Hence, considering the situation of David, “Roper–Logan–Tierney” nursing assessment model is going to be used. It would lead to the well-being of David by focusing on his health and implementing the right approach. This model is going to help in developing a detailed and effective care plan for David, which is crucial for the well-being of David.

7128SOH Health Assessment in Nursing Assignment Sample

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Background

The Roper-Logan-Tierney (RLT) nursing assessment technique tends to offer a holistic approach towards the assessment of the patient by emphasising on certain activities. It usually focuses on the daily living (ADLs) along with its controlling factors. As per the opinions of Jia and Guo, (2025), ADLs are often regarded as the ALs, and these factors are essential for evaluating the conditions of the patients. It underlines allowing patients to sustain independence through these actions, regarding psychological, biological, environmental, social, along with the politico economic effects. It has been further stated that the 12 ADLs include communicating, breathing, drinking fluids, eating foods, building a safe environment, playing, working, mobilising, sleeping, controlling the temperature of the body, and several others (Malone, 2024) It is found that David often faces breathing difficulties due to COPD, for which this model is the most suitable one. The breathing patterns and the saturation of oxygen can be improved with the help of the RLT model. David, by applying this nursing assessment model, can become able to enhance his eating habits, which is critical for fighting diseases like COPD. The sleeping patterns of David can be evaluated by incorporating the RLT model. The sociocultural factor also impacts the behaviour of an individual, which can be evident in the case of David, leading him to smoke excessively.

Discussion

Health need 1: Increased breathlessness due to COPD

Relationship between the health needs, goals, and possible outcomes

The first health need of David is the increasing breathlessness, which often occurs due to his symptoms of COPD. It has been stated that COPD results in damage to the airways in the lungs (nhlbi.nih.gov. 2025). The blockage of the airways creates breathing difficulties in an individual. It is also prominent in the case of David, and it may lead to chest tightness and other serious symptoms. The goal for David is to reduce the breathing issue by engaging himself in self-management practice is essential. Besides, different physical exercises can also come in help in this regard. It has been discussed by Spruit et al., (2024) that pulmonary rehabilitation, which usually includes training in exercises, is beneficial to get relife from the disease of COPD.

Intervention

Usage of Bronchodilators

Medication is a major factors for the well-being of the COPD patients. Hence, considering this, the use of bronchodilators can be helpful in relaxing the muscles of the airways in the lungs. As a consequence, David can be able to improve his breathing patterns. It has been stated that the use of the bronchodilators leads to the improvement of the airflows in the lungs (Cazzola et al., 2022). This can automatically enhance the breathing system of David.

Practicing exercise

As per the opinions of Xiong et al., (2023), an effective exercise schedule can strengthen the respiratory muscles. Hence, it can also be one of the most prominent interventions for curing COPD in David. Apart from that, the self-management approach can help David to manage his own medication and participate actively in the pulmonary rehabilitation, contributing to his wellness. Additionally, opioids with low doses can prevent refractory respiratory symptoms, as well as reduce the pain in the chest.

Health need 2: Smoking in excess of thirty cigarettes a day

Association between the health needs, goals, and possible outcomes

Another vital health need of David is the increasing number of cigarettes, and he usually smokes 30 cigarettes a day. It has been reported that smoking is categorised as the main and foremost cause for COPD (Song et al., 2021). The aim to decrease smoking consumption to a suggested low-risk limit is important because smoking is the major cause of COPD. It also increases other health issues. The plan aligns with public health advice and has shown significant evidence relating reduced smoking rates to increased health outcomes and reduced morbidity.

Interventions

Improved Sleeping Habits

Improving sleep quality can decrease anxiety and stress, which are important catalysts for smoking. The interconnection between smoking cessation and stress management shows that better sleep can help to change behaviours.

Cognitive Behavioural Therapy (CBT)

The integration of this therapy helps to reduce negative behavioural patterns which is related to smoking. CBT is useful in helping people to change their habits and thoughts related to smoking, leading to enhanced cessation rates. As per the opinion of Vinci, (2020), CBTT is considered a mindfulness-based intervention for reducing the issue of smoking addiction. It has been further argued by the author that the problematic behaviour can be well treated with the help of CBT. The beliefs of the individuals, followed by the socio-cultural factors, can lead to smoking rates or the consumption of alcohol. Therefore, by using the CVT, these negative beliefs can be challenged. It can also help David to identify any triggers that push him to smoke.

Monitoring Smoking Habits

Maintaining a record of daily cigarettes smoked delivers a tangible method for him to follow their habits. It is also making him more conscious of his smoking consumption. The effectiveness of self-monitoring as a behavioural change tool in smoking cessation helps to reduce the habit.

Health need 3: Not sleeping well

Devid is unable to sleep well which can be results of breathlessness and stress factors. Hence, the goal is enhancing sleep quality to achieve 7-8 hours of rest is important, as rest disturbances can aggravate health problems. It has been stated that 7 to 9 hours of sleep is required in night (nhlbi.nih.gov, 2025a). Insufficient sleep is related to increased depression, health issues,  and reduced capability to manage chronic illnesses. Evidence demonstrates that sleep is essential for recovery and overall health maintenance. Hence, fulfilling this need can promote better health outcomes and improve the efficacy of other interventions.

Interventions

Mindfulness and Physical Exercise

Mindfulness techniques have been related to advances in sleep quality by decreasing stress and anxiety levels. On the other hand, everyday physical activity is known to improve sleep quality and is reinforced by different studies emphasising its favourable effects on sleep habits. It is revealed in an article that the practice of regular exercise can lead an individual to achieve a better sleeping schedule (Alnawwar et al., 2023). It has also been stated in the study that practicing 30 minutes of exercise can improve overall sleeping habits. Therefore, considering this, David can practice different kinds of physical exercise in this aspect.

Relaxation Techniques

It is helpful to take warm baths and listen to calm music  can  promote relaxation, which is evidenced to encourage better sleep hygiene. Analysis indicates that such methods can allow in spiralling down before sleep, making it easier to gain restful sleep. David can listen to calm and soothing music before going to bed and can control the screen time so that he can be able to achieve better sleeping schedule. Besides, deep breathing and positive thinking can come as a help in this matter.

Consistent Sleep Schedule

It is also important to maintain a regular schedule for sleeping has been established to control circadian rhythms. It also leads to enhanced sleep quality and shows that consistency in sleep-wake cycles is essential for better sleep outcomes. Hence, it can be said that by following these practices, the sleeping issue of David can be mitigated.

Conclusion

It can be concluded from the discussion that the report has successfully met the learning outcomes by highlighting the healthcare needs of David and aligning it with the goals, outcomes, and interventions. It can be seen that the three healthcare needs include breathlessness, not sleeping well, and increasing numbers of smoking cigarettes, which create adverse effects on the health of David. It is witnessed from the discussion that COPD is a serious disease that requires the reduction of smoking, for which certain goals have been determined. The incorporation of the Cognitive Behavioural Therapy (CBT)  can help David to manage his smoking habits by appropriately identifying the triggers and changing his negative feelings, which results in negative behaviours like excessive smoking. Further, the intervention plan involves reducing his breathing troubles is practicing physical exercise, using bronchodilators, and low-dose opioid medications. In addition to this, practicing a calm sleeping schedule can also be beneficial to mitigate the issue of sleeplessness.

References

• Alnawwar, M.A., Alraddadi, M.I., Algethmi, R.A., Salem, G.A., Salem, M.A. and Alharbi, A.A., 2023. The effect of physical activity on sleep quality and sleep disorder: a systematic review. Cureus, 15(8).Cazzola, M., Page, C., Rogliani, P., Calzetta, L. and Matera, M.G., 2022. Dual bronchodilation for the treatment of COPD: from bench to bedside. British Journal of Clinical Pharmacology, 88(8), pp.3657-3673.
• Jia, Q. and Guo, S., 2025. Influencing factors of sedentary behavior in older adults with type 2 diabetes in community: A descriptive literature review.
• Malone, D.J., 2024. Introduction to Physical Therapist Management of the Acute Care Patient. In Acute Care Physical Therapy (pp. 1-50). Routledge.
• nhlbi.nih.gov, 2025a. How Much Sleep Is Enough? Available at: https://www.nhlbi.nih.gov/health/sleep/how-much-sleep#:~:text=Experts%20recommend%20that%20adults%20sleep,or%20more%20hours%20a%20night. [Accessed on 12 July 2025].
• nhlbi.nih.gov. 2025. What Is COPD? Available at: https://www.nhlbi.nih.gov/health/copd#:~:text=COPD%20Basics%20Learn%20who%20is,air%20out%20of%20your%20body. [Accessed on 12 July 2025].
• Song, Q., Chen, P. and Liu, X.M., 2021. The role of cigarette smoke-induced pulmonary vascular endothelial cell apoptosis in COPD. Respiratory Research, 22(1), p.39.
• Spruit, M.A., Burtin, C., De Boever, P., Langer, D., Vogiatzis, I., Wouters, E.F. and Franssen, F.M., 2016. COPD and exercise: does it make a difference?. Breathe, 12(2), pp.e38-e49.
• Vinci, C., 2020. Cognitive behavioral and mindfulness-based interventions for smoking cessation: a review of the recent literature. Current Oncology Reports, 22(6), p.58.
• Xiong, T., Bai, X., Wei, X., Wang, L., Li, F., Shi, H. and Shi, Y., 2023. Exercise rehabilitation and chronic respiratory diseases: effects, mechanisms, and therapeutic benefits. International Journal of Chronic Obstructive Pulmonary Disease, pp.1251-1266.