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HS1semester project Client A. By: Catalina Garcia. Client A. Gender: Female Age: 36 years Education: High School Family situation: Married with children Chief complaints: Lack of sleep and allergy symptoms Language: Spanish. Health History. Childhood illness: Chicken pox (5 years old)

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Hs1semester project client a

HS1semester project Client A

By: Catalina Garcia

Client a
Client A

  • Gender: Female

  • Age: 36 years

  • Education: High School

  • Family situation: Married with children

  • Chief complaints: Lack of sleep and allergy symptoms

  • Language: Spanish

Health history
Health History

  • Childhood illness: Chicken pox (5 years old)

  • Adults illness: loss of sleep (periodically), stress (periodically)

  • Allergies: Pollen (last six years)

  • Family health history: Pancreases Cancer, breast cancer, hypertension


  • Sleep loss can lead to serious health issues like heart attacks, dumbs a person down, energy loss, gaining weight, aging, depression and impairs judgment

  • Insomnia has many types periodically, chronic. Chronic can only be treated and periodically (acute) can go away.

  • Cause to acute insomnia include the environment, allergies and personal factors

  • Reducing environmental factors, taking medicine for allergies help improve sleep. Going to bed when sleepy, family support with home duties.

Target behavior
Target Behavior

  • Improving amount of sleep the client receives per night

  • Average sleep per night: 5 hours


  • Theory: Social Cognitive Theory

  • The environment around a person and personal behavior create a system. If the system is positive the person will most likely change behavior, If the system is negative then its harder to change.

  • If the personal or environmental factor change then it brings every thing down creating a domino effect.


  • Environmental Factors: Home duties, younger child and electronics

  • Personal Factors: Can not fall asleep, does not go to bed when sleepy

  • Helps to fall asleep: preparing for bed, disconnecting from the environment

Smart goal
Smart Goal

  • I will sleep more by going to bed earlier and improve number of hours I sleep during these four weeks by discounting from my environment.

  • Eating healthier will help improve sleep and early before going to bed.


  • Client will eliminating some environmental factors by turning of TV and closing window at night to avoid waking up.

  • Clientwill allow help from family with duties and start the earlier to avoid staying up late

  • Client will eliminate personal factors by going to sleep when sleepy

  • Client will remember hours most and least hours slept in the week


  • Increased the number of sleep in week two and three.

  • In week four slept less, allergies affected amount of sleep.

  • Allergies started in mid week three.


  • In the process of the behavior intervention the allergies of the client affected the results noticeably in the last week as the allergies intensified

  • The hardest thing during the process was the client forgetting the hours slept in the past week

  • Translating the questions for the client was time consumingbecause some words required finding the medical translation to Spanish and explanation.

Web citation
Web Citation

  • The British Journal of Psychiatry. (2007, June 27). <i>Management of insomnia: treatments and mechanisms</i>. Retrieved May 15, 2014, from http://bjp.rcpsych.org/content/191/3/195.full

  • Insomnia (Chronic and Acute Insomnia) Causes and Symptoms. (2014, April 2). <i>WebMD</i>. Retrieved May 19, 2014, from http://www.webmd.com/sleep- disorders/guide/insomnia-symptoms-and-causes

  • Feature, C. (2014, February 13).10 Surprising Effects of Lack of Sleep. <i>WebMD</i>. Retrieved May 29, 2014, fromhttp:// www. webmd.com/sleep-disorders/excessive-sleepiness-10/10-results-sleep-loss

  • Epstein, L. (2013). Improving Sleep: A guide to a good night's rest. Retrieved May 29, 2014, fromhttp://www.health.harvard.edu- /special-health-reports/ improving-sleep-a-guide-to-a-good-nights-rest