Health teaching:

Smoking, Diet and Lifestyle

In partial fulfillment of Out-Patient Department duty requirement S.Y. 2016-2017 2 nd Semester

Submitted by:
BSN 3-A4
I. Description of the Learner: The learner is an out-patient department client, may be accompanying a patient or the patient himself/ herself, who will undergo check-
up or consultation in the institution. The learner may be working or non-working. She/ He verbalized his desire and interest smoking, proper diet and/or healthy
Lifestyle. She/ He also verbalized the necessity for her to learn such, so as to be independent on managing her Body properly in accordance to integration to his/ her
own beliefs about certain procedures or illnesses. He/ She believes that knowing those things will help him/ her to have a greater possibility of good and healthy body.
The learner may reside here in Baguio, City with his/ her family. He/ She may be baptized as a Christian. He/ She can speak Filipino, English and/or Ilocano. He/ She
may believe that that his/ her family is his/ her support-system and he/ she also considers her family as the most important people in her life. He/ She may his/her
relationship with his/her family as close oriented who values health that is why he / she agreed to undergo the consultation in the institution. On ordinary days, the
learner may spend time at work to learn and to work.

II. Learning Need: The learner desires to acquire knowledge on the proper diet and how to have a healthy lifestyle. He/ She also wish to know the possible effects or
complications of smoking in the body. He/ She may listen to the radio, browse the internet, and even watch the television. The client knows the basic information
about cigarette smoking, proper diet and active healthy lifestyle.

III. Learning Style: Learner may/ may not have finished his/ her formal school may/may not have taken up masteral degree. The learner likes to learn through a big group
discussion with visual aids or pamphlets. He/ She learn best in the morning, and he/ she also learns best when she is asking questions about the matter and is actively
listening on the subject matter. He/ She like to read printed materials such as books and posters. She prefers to use Filipino and English language on discussion.

IV. Learning Readiness: The learner expresses her desire to learnhe/ she is willing to be alert on the discussion and is willing to make the topic the center of the
discussion and the topic of interest

V. Learning Diagnosis: Knowledge Deficit: Proper diet, Healthy Lifestyle and Cigarette smoking related to lack of information

VI. Goal: within 30 minutes- 1 hour of client teaching, the learner will be able to verbalize the understanding of proper diet and healthy lifestyle. He/ She may also
verbalize the negative effects of smoking in the body.

VII. Objectives

Behavioral Learning Objectives Teaching Plan10-15 Teaching Strategy/ Methods and Time allotment and resources Evaluation
(BLOs) minutes Activities needed
Pamphlet

Cognitive:
 Within 10-15 minutes
of group of group
discussion, client will
be able to verbalize in
their own words ways
on how to maintain
healthy lifestyle
And able to verbalize in
their own words the
risks of smoking
After 15-20 minutes of
student nurse-client
interaction the patient
will be able to:
1 Define nutrition and
unhealthy diet in his or
her own words
correctly
2 State the importance of
adequate and proper
food intake
3 State the importance of
smoking cessation
Identify at least 2 NGF
(National Guidelines for
Filipinos n FDNRI AND
DOST) goals.
Tips on how to have an
active and healthy
lifestyle
Risks and Smoking
Definition of unhealthy
diet and nutrition
Effects of good nutrition
Smoking cessation
National Guidelines for
Filipinos (FDNRI and
DOST) goals
Active Lifestyle 10-15 minutes Instant oral feedback:
-Big group Discussion Pamphlet About ways on how
to have an active
lifestyle
Instant oral feedback:
About risks of
smoking
Smoking and Risks.
-Big group Discussion
Definition Instant oral feedback:
-Big group Discussion 15-20 minutes About
Pamphlet -definition of
nutrition and
unhealthy diet
Advantages of good -importance of good
nutrition nutrition
-Big group Discussion -at least 2 goals of
FNRI
-actions in order to
have good nutrition
according to the NCD
Benefits of Smoking Prevention and
cessation Control and
importance of
smoking cessation.
Natinal Filipino
Guidelines accdg to
FDNRI goals
 Based on the Global
and Regional
Perspectives in NCD
Prevention and Control
(WHO, 2008), cite at
least 2 the following are
the key areas of actions
for promoting good
nutrition and dietary
practices
Affective:
Within 5-10 minutes of
big group discussion,
client will be able to
verbalize the
importance of a healthy
lifestyle
Key areas to promote
good nutrition and diet
practice accdg. To the
Global and Regional
Perspectives
Effects of healthy
lifestyle
-Big Group Discussion
Actions towards good
nutrition
- Big Group
Discussion
5-10 minutes
Pamphlet and oral inputs Instant oral feedback:
About positive effects
Advantages of healthy of active and healthy
lifestyle lifestyle

Psychomotor:
Within 10 minutes of
group teaching, the Correct
client will be able to 10 minutes demonstration of
demonstrate examples Proper body mechanism Pamphlet exercises
Proper mechanism of demonstrated
of good and efficient on exercise Demonstration
exercises for everyday exercise
lifestyle.
VIII. Learning Content
LIFESTYLE:

Ang Healthy Lifestyle ay ang pagsasatupad ng mga kaugalian na makakabuti sa kalusugan.

Dapat isagawa ang Healthy Lifestyle simula pagkabata hanggang pagtanda. Itoy para sa buong pamilya.

-*Gumalaw,kumilos at regular na mag-ehersisyo

 -*Hwag manigarilyo

-*Iwasan ang tension at iba pang stress at ugaliin din ang regular na pagpapa-check up sa duktor o health worker kahit walang masamang
nararamdaman

Ang physical inactivity o kawalan ng gawaing pisikal ay:

-Isa sa mga pangunahing dahilan ng maagang pagtanda,pagkamatay at pagkakaroon ng mga sakit at kapansanan

-dino-doble ang tsansang magkaroon ng sakit sa puso alta presyon at diabetes mellitus

-Isa sa mga pangunahing dahilan ng obesity o sobrang pagtaba

-Lumalaki din ang tsansang magkaroon ng kanser sa suso at sikmura,alta presyon,sobrang kolesterol,osteoporosis,pagkabalisa ng isip at depresyon

Tatlumpong minute lang araw-araw ng paggalaw at pagkilos para sa kalusugan ang kailangan,katulad ng;

-30 minutong maliksing paglalakad o brisk walking

-Pag-akyat at pagbaba sa hagdan

-Paglilinis at iba pang gawaing bahay

-Paghahardin

-Pagbibisikleta

-Pagsasayaw
Para sa karagdagang benepisyo sa kalusugan,ugaliin pag-eehersisyo ng hindi bababa sa 30 minute,3 hanggang 4 na araw sa isang Linggo. Hwag
kakalimutang mag warm up bago magsimula at mag-cool down pagkatapos
DIET

Good nutrition is the key to good mental and physical health. Eating a balanced diet is an important part of good health for everyone. The kind and
amount of food you eat affects the way you feel and how your body works.
 A healthy diet helps protect against malnutrition in all its forms. Unhealthy diet and
lack of physical activity are leading global risks to health.

Eating a balanced diet is vital for good health and wellbeing. Food provides our bodies with the
energy, protein, essential fats, vitamins and minerals to live, grow and function properly. We
need a wide variety of different foods to provide the right amounts of nutrients for good health.
Enjoyment of a healthy diet can also be one of the great cultural pleasures of life

The food pyramid guide emphasizes the foods from the five major food groups. Each of these
nutrients provides some, but not all, the nutrients you need. Foods in one group cant replace
those in another. No one food group is more than the other.

The
Nutritional Guidelines for Filipinos (NGF)
is a set of ten messages of simplerecommendations that give advice about proper diet to promote goodhealth for each individual and family members.
The NGF messages were based on the nutritional status data of Filipinos and the current dietaryhabits and food patterns, taking into consideration the
countrys food availability and supply. The following are the10 recommended messages in the NGF:
1.Eat a variety of foods everyday.
2.Breastfeed infants exclusively from birth up to 6 months, and then, give appropriate foods while continuing breastfeeding.
3.Maintain childrens normal growth through proper diet and monitor their growth regularly.
4. Cons u me fi s h, le a n me a t , poul tr y or dri e d bea ns .
5.Eat more vegetables, fruits and rootcrops.
6. Eat f oods c ooke d i n e di bl e /c ooki ng oi l da il y
7.Consume milk, milk products, and other calcium-rich foods such as small fish and dark green leafy vegetables everyday.
8.Use iodized salt, but avoid excessive intake of salty foods
.9 . E a t c l e a n a n d s a f e f o o d s .
10.For a healthy lifestyle and good nutrition, exercise regularly, do not smoke and avoiddrinking alcoholic beverages
 :Promote exclusive breastfeeding and optimal feeding for infants and young children;

Establish and implement food-based dietary guidelines and support the healthier composition of food by:

reducing salt levels

eliminating industrially produced trans-fatty acids

decreasing saturated fats

limiting free sugars including more of dietary fiber

Provide accurate and balanced information for consumers in order to enable them to make well-informed, healthy food choices;

Promote the responsible marketing of foods and beverages to children, in order to reduce the impact of foods high in saturated fats, trans-fatty acids, free
sugars, or salt.

Select the leanest cuts and remove all visible fat before eating

Avoid high-fat processed meats such as luncheon meats, sausage and bacon

Use poultry (preferably without skin), fish and vegetables to replace red meat whenever possible

. Limit intake of egg yolk to 2-3 times a week.

Increase the consumption of vegetables like legumes, beans, peas, nuts and seeds in place of animal proteins.

Cook meat or poultry on a rack so that fat will drain off

. Chill meat or poultry broth until the fat becomes solid. Spoon off the fat (sebo) before using the broth

Smoking and Cardiovascular Disease

Smoking causes stroke and coronary heart disease, which are among the leading causes of death in the United States.
 Smoking damages blood vessels and can make them thicken and grow narrower. This makes your heart beat faster and your blood
pressure go up. Clots can also form.

A stroke occurs when a clot blocks the blood flow to part of your brain or when a blood vessel in or around your brain bursts.

Blockages caused by smoking can also reduce blood flow to your legs and skin.

Smoking and Cancer

Smoking can cause cancer almost anywhere in your body.
Bladder

Blood (acute myeloid leukemia)

Cervix

Colon and rectum (colorectal)

Esophagus

Kidney and ureter

Larynx

Liver

Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils)
 Pancreas

Stomach

Trachea, bronchus, and lung

Smoking and Other Health Risks

Smoking harms nearly every organ of the body and affects a persons overall health.
Smoking can make it harder for a woman to become pregnant and can affect her baby's health before and after birth. Smoking increases risks
for:

o Preterm (early) delivery

o Stillbirth (death of the baby before birth)

o Low birth weight

o Sudden infant death syndrome (known as SIDS or crib death)

o Ectopic pregnancy

o Orofacial clefts in infants

Quitting and Reduced Risks

Quitting smoking cuts cardiovascular risks. Just 1 year after quitting smoking, your risk for a heart attack drops sharply. 2

Within 2 to 5 years after quitting smoking, your risk for stroke could fall to about the same as a nonsmokers. 2
 If you quit smoking, your risks for cancers of the mouth, throat, esophagus, and bladder drop by half within 5 years. 2

Ten years after you quit smoking, your risk for lung cancer drops by half.

Secondhand smoke (SHS) is also called environmental tobacco smoke (ETS). Its a mixture of 2 forms of smoke that come from burning tobacco:

Mainstream smoke: The smoke exhaled by a smoker.

Sidestream smoke: Smoke from the lighted end of a cigarette, pipe, or cigar, or tobacco burning in a hookah. This type of smoke has higher
concentrations of cancer-causing agents (carcinogens) and is more toxic than mainstream smoke. It also has smaller particles than mainstream
smoke. These smaller particles make their way into the lungs and the bodys cells more easily.
Young children are most affected by SHS and least able to avoid it. Most of their exposure to SHS comes from adults (parents or others) smoking at home.
Studies show that children whose parents smoke:
Get sick more often

Have more lung infections (like bronchitis and pneumonia)

Are more likely to cough, wheeze, and have shortness of breath

Get more ear infections

Secondhand smoke can also trigger asthma attacks, make asthma symptoms worse, and even cause new cases of asthma in kids who didnt have symptoms
before.
What is third-hand smoke?
Third-hand smoke is the invisible tobacco dust (or chemical) that settles in the environment and stays there even after a cigarette has been
put out. Third-hand smoke contains more than 250 chemicals.

How can I protect my children and myself from second and third-hand smoke?
If you smoke, avoid smoking around children. Choose a place to smoke outside, away from where children play. Ask other adults to smoke
outside. Opening windows is not enough protection against second and third hand smoke. Ask visitors, babysitters, grandparents and friends
not to smoke in your home or around your children. Inform them that the smoke can increase your childs risk for developing health problems
(asthma, bronchitis, pneumonia, and middle ear problems).
Do not allow smoking in your home or car, even when your children are not present.
Choose a smoke-free day care center.
Visit places where smoking is prohibited.
IX. References:
(2016) .DOH
U.S. Department of Health and Human Services. The Health Consequences of Smoking50 Years of Progress: A Report of the Surgeon
General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for
Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/
(2016).World Health Organization. Proper diet. Retrieved April 5, 2017. Retrieved from www.wpro.com/proper-diet/whji8Uhsjdih