Module 1: Health Risk Assessment and Health Promotion Contract
Name: 2202-NURS-3335-505 Date:
Overview: Health Risk Assessment and Health Promotion Contract
For each section of the Health Self-Assessment in the document below, provide a substantial
summary of your current health status. In each section’s summary, be sure to include any
information regarding your health and lifestyle that might play a role in your overall wellness.
You will contract to change/improve one health behavior during this course. Your Health
Assessment can give you guidance on your choice, but ultimately the choice is yours.
Part of the contract requires you to evaluate your current “stage of change” according to the stages
described by Zimmerman, Olsen, and Bosworth in the article, “A ‘Stages of Change’ Approach to
Helping Patients Change Behavior.” (www.aafp.org/afp/20000301/1409.html.)
You will be tracking your progress toward the goals in your contract by completing journal entries
for four weeks, then analyzing your motivation, successes, and obstacles in the final week of the
course.
Objectives:
Devise a personal Health Promotion contract to be used for the duration of the course.
Discuss the Stages of Change model in relation to health behavior changes for others and self.
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, N3335 Promoting Healthy Lifestyles
Rubric
Use this rubric to guide your work on the assignment, “Health Risk Assessment and Health
Promotion Contract.”
Task Accomplished Competent Needs Improvement
Health Risk Assessment All sections include At least 5 sections At least 2 sections
thorough and substantial completed thoroughly, completed thoroughly,
(Total 50 points) summaries of your with substantial with substantial
current health status, summaries and details, summaries and details,
with details of your but not all sections or no sections
health and lifestyle that completed thoroughly completed thoroughly.
might play a role in your with substantial detail.
overall wellness (ie. “I
don’t drink or smoke” is (35 points)
(15 points)
not considered a
substantial explanation.
If you don’t drink or
smoke, include how this
will help prevent certain
illnesses.)
(50 points)
Health Promotion Contract All 5 sections All sections completed, Minimal sections
completed, including but not all goals are addressed completely or
(Total 50 points) measurable goals, measureable or correctly, or no sections
correct target dates, and inalignment with final addressed
reasonable rewards, goal, dates are missing
etc… or all not inserted in the
template, missing some
Each item inserted in or all rewards
the correct field on the
template (goals, dates,
rewards, etc…) (15points)
(35 points)
(50 points)
Please note: If your goals are not measurable, your Journal Analysis grade also will be affected.
Your goals must be measurable so that you can analyze whether you did or did not meet your
goals later in the course.
Health Risk Assessment
Summarize your current health status, including any other information about your own health and
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