The document discusses developing a health promotion plan for incarcerated women with high blood pressure. It notes that high blood pressure is very common among prisoners, with 40% reporting chronic conditions. It will use the PRECEDE-PROCEED model to guide the teaching plan. The plan will focus on maintaining a controlled blood pressure through smoking cessation, maintaining a healthy weight, following a low-salt/low-fat diet, and exercising regularly. Progress will be tracked through health journals and monitoring blood pressure and weight. The goal is to help women adopt long-term healthy lifestyles and reduce risk factors.

1. HIGH BLOOD
PRESSURE FOR
INCARCERATED
WOMEN
Camille Rebueno
NURS 370
24 April 2016

2. THE PROBLEM
 Background information and significance to the community’s
health:
 According to the Bureau Justice of Statistics of 2015, high blood
pressure is the most common chronic conditions among prisoners
 High blood pressure was the most common chronic condition by
30% of prisoners and 26% of jail inmates
 In 2011-12 study an estimated 40% of state and federal prisoners
and jail inmates reported having a current chronic medical
condition
 Female prisoners and jail inmates were more likely to be obese or
morbidly obese and more common to have a chronic condition
 A random survey of California prison inmates found that women
had a high incidence of hypertension. The health care team at a
small local women’s prison has asked a group of nurses to assist
them in developing a health promotion/health teaching plan for
screening and educating women on hypertension.

3. LEARNING NEEDS ASSESSMENT
 Discuss the plans for assessing learning needs of the community:
 Assessing for any barriers (Language, cultural, education level, or
learning disabilities)
 Assessing for the ability to retain and understand health education
 Assessing mental capacity and ability to comprehend and accept
life style changes
 Assessing for readiness to participate in health care behavior
modification

4. HEALTH PROMOTION MODEL
 Describe the community model selected as the health promotion
model and explain how it will guide the development of your teaching
plan:
 PRECEDE-PROCEED model for community planning
 Step 1: social assessment to learn peoples perceptions o ftheir own needs and life
quality
 Step 2: epidemiologic assessment which is performed to identify the health
problems that are most important
 Step 3: educational and ecological assessment to identify the predisposing,
reinforcing,, and enabling factors that must be in place to initiate and sustain
proposed change
 Step 4: administration and policy assessement and intervention alignment,
development of intervention strategies, and planning for implementation occurs
 Step 5: implementation of the planned intervention and both impact and outcome
evaluations.

5. HEALTH EDUCATION/HEALTH
EDUCATION PLAN
 GOAL: Maintain a controlled blood pressure and reduce any
cardiovascular risk factors
 OUTCOMES:
 Smoking Cessation
 Maintain ideal BMI or weight reduction
 Low Salt/Low fat diet
 Exercising at least 30 minutes to 1 hour 3 times/week advancing as tolerated
to everyday.

6. RESEARCH
 Maruschak, L.M., Berzofsky, M., & Unangst, J. (2015). Medical
problems of state and federal prisonders and jail inmates, 2011-12.
U.S. Department of Justive Office of Justice Programs Bureau of
Justice Statistics.[Provided national statistics for state/federal
prisoners and jail inmates]
 Bingswanger, I.A., (2010). Chronic medical diseases among jail and
prison inmates. Society of Correctional Physicians [Incarcerated
population chronic diseases vs. general population chronic diseases]
 Fox, A.D., Anderson, M.R., Bartlett, G., Valverde, J., Starrels, J.L.,
Cunningham, C.O. (2014). Health outcomes and retention in care
following release from prison for patients of an urban post-
incarceration transitions clinic. US National Library of Medicine
National Institutes of Health. [Showed health outcomes of patients
after incarceration]

7. EVALUATION
 Keep a health lifestyle journal to keep track of proper diet, weight,
exercise, and blood pressure monitoring
 Maintain an ideal BMI by tracking weight loss (included in food
journal, daily weights)
 Maintaining a healthy lifestyle with proper exercise daily 30
minutes – 1 hour 3-5 times a day. (included in food journal)
 Blood pressure diary to monitor BP daily. Taking it before
medication administration and after.

8. CONCLUSION
 WAY FORWARD
 To achieve optimal health outcomes, proper diet, exercise, and healthy
lifestyle changes
 Identifying the predisposing environmental factors or causes in the community
for reducing likeliness of re-entry into jail
 Reinforcing and enabling women to partake in healthy lifestyle and identifying
the problem, cause, and resolution

9. REFERENCES
 Bingswanger, I.A., (2010). Chronic medical diseases among jail
and prison inmates. Society of Correctional Physicians
 Fox, A.D., Anderson, M.R., Bartlett, G., Valverde, J., Starrels,
J.L., Cunningham, C.O. (2014). Health outcomes and retention in
care following release from prison for patients of an urban post-
incarceration transitions clinic. US National Library of Medicine
National Institutes of Health.
 Maruschak, L.M., Berzofsky, M., & Unangst, J. (2015). Medical
problems of state and federal prisonders and jail inmates, 2011-
12. U.S. Department of Justive Office of Justice Programs Bureau
of Justice Statistics.
 Pender, N. J. (2015). Health promotion in nursing practice (7th
ed.). New Jersey: Pearson.