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Readiness for Change

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Submitted By loops12
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Running head: READINESS FOR CHANGE 1

Readiness for Change
Guadalupe Hernandez
California State University, Los Angeles
Readiness for Change
Health History and History of Present Illness The client is a 15-year-old Hispanic male (R.C.) with a history of obesity since the age 10. The client is 5’9”, and weighs 276 lbs.; he is currently at a BMI of 40.8. R.C. states he has a history of Leukemia. He was diagnosed in 2008 and underwent treatment at Children’s Hospital in Los Angeles for 10 months. The chemotherapy was successful, and reports there have been no episodes since he left the hospital. He had monthly checkups for the first six-months after being discharged from the hospital. He currently has doctor visits every four months. He is not taking any medications. R.C. has astigmatism and wears prescription glasses. He denies diabetes, cardiac problems, lung problems, and any other illness. R.C. states there is family history of diabetes in his father’s side. Denies all other illnesses on father’s side, and states no illnesses in mother’s side. R.C. states he has wanted to change his weight because he knows it is not healthy, and he feels inspired.
Health Beliefs and Perceptions When asked what he perceives as healthy, R.C. states, “Diets and working out.” He is very focused on losing weight, and at times seems to be fixated with it. He states eating right and being committed is part of being healthy. When asked about illnesses and diseases he agrees but states that he thinks, “buff guys and body builders are healthy.” When asked about the ones who take steroids, he states, “not those ones.” It seems as though he knows what healthy is, but is a bit obsessed with losing weight and only thinks of health as thin and muscle building image.
Activities of Daily Living The client is able to perform all activities of daily

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