NURS FPX 4060 Assessment 1 Health Promotion Plan

NURS FPX 4060 Assessment 1 Health Promotion Plan

NURS FPX 4060 Assessment 1
Name Capella University:
August, 2023

Health Promotion Plan

NURS FPX 4060 Assessment 1

A healthcare promotional plan is a systematic design that is implemented for individualistic inclusion in healthcare pursuits for better and improved outcomes. Communication, coordination, and apprehension are the key components for lessening mortalities, chronic illnesses, and morbidities. The change and impact are possible when a healthcare promotional plan is executed with the help of experts and skilled workers at the community level (McKenzie et al., 2022).

According to the World Health Organization (WHO), “a health promotional plan is an effective tool for encouraging people for their inclusion in controlling health inclusions (World Health Organisation, 2022). To ensure secure and better healthcare services for the community, social, psychological, environmental, and physical mediations are made. Besides this, there is an instrumental role of education in executing a healthcare promotional plan. Healthcare literacy and awareness through effective policy-making and open communication help in achieving improved health results (Stanulewicz et al., 2019).

This assessment is for designing a practical and efficient healthcare promotional plan for nursing practitioners. It will encourage uniform healthcare services for people indulged in tobacco addiction and related products e.g. vapes, pipes, cigarettes, hookah, etc. Moreover, it will shed light on the health outcomes of tobacco on teenagers or adolescents suffering from tobacco addiction. Using SMART goals for healthcare, the adverse health impacts can be reduced.

Use of Tobacco

According to a report from World Health Organization (WHO), it is shown that half of the tobacco-addicted people end up dying. Moreover, eight million people die per year from its use. Viewing this grieving situation of tobacco addiction and health impacts, this policy framework directs the tobacco outbreak.

The National and State Tobacco Control Program (NSTCP) is state state-level program by WHO that involves fifty states. Moreover, the WHO has negotiated an international treaty for tobacco control and treatment which is called “WHO Framework Convention on Tobacco Control (WHO FCTC). This treaty focuses on the eradication of adverse health impacts of tobacco through training, awareness, and education interventions. This treaty is implemented in policy frameworks for saving lives of the smokers through penalties, taxes, and awareness (Bialous & Da Costa e Silva, 2022).

Research-based initiative

Likewise, Global Tobacco Control is a research-based initiative for the reduction of deaths and diseases caused by the unhealthy use of tobacco and its products. It is a web-based digital application that gives information about tobacco use and displays surveys and research initiatives. The USA has seen a decline in tobacco use and cigarette rates since the Surgeon General Report of 1964. Tobacco-related deaths and morbidities are reduced and the tobacco usage trend has decreased among the youth. However, the production of new tobacco products and incompatible policies have still made tobacco a problem for different social groups.

Healthy People 2030 is a progressive step towards disease, prevention, treatment, health literacy, and equitable healthcare services. Tobacco control and prevention is also a primary plan of Healthy People 2030. Its objectives are to save people’s lives against tobacco use and reduce the probability of related. mortalities and morbidities According to recent reports, in the USA, almost sixteen million people are still indulged in tobacco-related health impacts (Nargis, 2021).

Healthy People 2030 works by creating awareness and healthcare literacy about tobacco usage and its impacts. According to the Centers for Disease Control (CDC), almost 480,000 deaths occur in the USA annually due to tobacco usage. The use of tobacco is one of the major causes of chronic diseases in the USA (CDC, 2023).


The presupposition or underlying assumption is that large taxes on tobacco products, education through awareness programs, and the use of media for discouraging tobacco products, particularly by healthcare providers will assist in reducing smoking. The lacking areas are unsupportive community members, misinformation or lack of information, and special healthcare workers for tobacco-addicted people.

Health Concerns for Adolescent

In the USA, one of the main causes of diseases, disabilities, and mortality among adults aged 18 and above is tobacco smoking. The country’s death ratio and probability of chronic diseases have increased due to active smoking. In the USA, every 13th out of 100 people are involved in cigarette smoking. The percentage of smoking is highest among African-Americans which is 27 out of 100 adults above age 18 (Turkson‐Ocran et al., 2020).

Research has shown that engaging and entertaining advertisements on electronic media, and effective visualization have encouraged the youth towards tobacco products. The increasing trend of smoking in the community and peer groups also contributed to increasing smoking activities (Roby et al., 2020).

According to the American Lungs Association (ALA), a leading cause of excessive tobacco use in adolescents is influence and motivation from friends. An urge to be trendy and classy and the insisting behavior of friends push most teenagers towards tobacco use. Furthermore, engaging marketing strategies and inspirational tactics increased the proportion of tobacco smoking in adolescents, as highlighted by ALA (Bade & Dela Cruz, 2020).

Prevalence of Tobacco Issue

One of the major and harmful pursuits in the use of tobacco products is active smoking. According to the 2020 CDC report, almost 12.5% of adults are still indulging in smoking. Passive smoking is far more dangerous than active smoking and poses serious health impacts.

In passive smoking, the person is indirectly taking the cigarette smoke but has a direct adverse impact on respiratory functions and other body processes. Passive smoking is a cause of 34,000 deaths among adults in the USA leading to lung diseases and cardiac failures (CDC, 2022).

Tobacco smoking is a leading cause of bad health impacts like lung diseases, cancers, immunity disruptions, and chronic obstructive pulmonary disease (COPD) which causes other complex lung diseases.  Conversely, people who indulge in active smoking are fourfold more prone to lung, heart, brain, and other related diseases.

There is an increase of 20-30% in chronic diseases e.g. cardiac failure and lung diseases by passive smoking. Any form of smoking whether passive or active increases the 80% probability of disease occurrences such as chronic infections, cardiac failures, and bronchitis (Khoramdad et al., 2019).

NURS FPX 4060 Assessment 1: Evidence-based research

Cornelius, (2020) has investigated that adults in the USA are indulged more in non-cigarette products like e-cigarettes and vaping which are far more damaging to brain development and lung functionality. By evidence-based research, it can be inferred that the implementation of population-level interventions combined with policy frameworks can help to reduce tobacco-related diseases and mortalities in the USA. High-level media campaigns, introducing fines on tobacco products, and smoke-free policies can help to eradicate tobacco usage among adults.

Wheaton et al., (2019) have investigated that probability of chronic obstructive pulmonary disease (COPD) is higher in Africa. Indian, Alaskan Americans. The main reason behind it is a lack of education, awareness, and poverty. Although active smoking is one of the leading causes of COPD in the US passive or indirect exposure to cigarettes can contribute greatly. Population-based strategies can help to reduce tobacco usage in the

United State

Levy et al., (2018) have investigated in their study that since 2013, the trend of smoking cigarettes has decreased because the use of vape products has increased exponentially. He also studied the smoking trend along the temporal factors. They observed that no change occurred across the temporal axis since 2014. The trend of vapes and e-cigarettes is increasing in all parts of the USA replacing conventional tobacco cigarettes.

Patient Case

Shamar is an eighteen-year-old American who lives with his joint family in West Virginia, USA. He is a high school boy who is a chain smoker and smokes eight to ten cigarettes daily. Since the age of 12, he is indulged in smoking and now he is an addict. Shamar started smoking due to peer pressure and company influence. He now suffering from chest pain and respiratory illness. He visited the hospital on the advice of his family physician for further guidance. His medical investigation showed that he is suffering from Coronary Heart Diseaseoccurs, immunodeficiency, and Chronic Obstructive Pulmonary Disease (COPD).

It is further investigated that if he continues his habit of chain smoking, there will be permanent damage caused to the lungs and heart which can be deadly. For better health results, he is under observation and treatment for medical intervention for better health outcomes.

NURS FPX 4060 Assessment 1: Health Promotional Goals

For providing efficient medical interventions to cigarette smokers and training them to abandon smoking, an effective health promotional plan is designed for improved health results. This health promotional plan is relatable, particular, time-targeted, achievable, and quantifiable for improving patient care and the health of an active smoker. SMART goals are designed for Shamar to usher him to quit smoking for a better health state. The objective of these goals focuses on educating and training him for the adverse health impacts of smoking. It can be ensured through therapy and counseling sessions for improved healthcare outcomes.


An eight-week plan is formulated for Shamar to diminish the habit of smoking. Family of Shamar will also help him to quit smoking via emotional support and good company

  • Shamar will be taking therapy and counseling sessions for 45 minutes once a week. A continuous education plan will be designed for Shamar for abandoning smoking. At the end of the session, he will be asked to practically implement the instructions and habits will be inculcated in Shamar’s lifestyle. Like eating some sweets whenever he craves for cigarette and forty-minute exercise for better metabolic activity.
  • Weekly counseling sessions will assist Shamar in achieving a better daily lifestyle. Through these sessions, he will be continuously being aware of the bad effects of smoking.
  • A strengthened psychological and emotional assistance and a productive company will help Shamar quit smoking for good.


The counseling sessions will assist Shamar in improving his consciousness and knowledge about the lethal effects of smoking.


By daily exercise for 45 minutes, Shamar will improve his overall well-being i.e. physical, mental, psychological, and emotional.


Support and assistance from family and peer groups will help Shamar to achieve abandoning of smoking and have better health outcomes.


To make this entire process realistic and to control his craving, Shamar will eat sweets. Sweets and candies will reduce his craving and addiction to cigarettes.

Time Bound

At the end of eight weeks, education, awareness, counseling, and assistance will ensure the reduction of the smoking habit for Shamar. In this way, he will live a healthy and active life.


The use of tobacco and tobacco-related products is extremely lethal for human health. Most adolescents who are indulged in tobacco smoking are damaging their lives, families, and future. Effective and practical healthcare promotional plan helps to promote awareness, education communication, and policy measures for reducing and managing the health impacts of tobacco usage. In this assessment, the patient case of Shamar has been discussed who is a teenager and chain smoker. For accomplishing the health promotional plan, SMART goals are executed for awareness, healthy lifestyle, counseling, and education for enhanced health results.

NURS FPX 4060 Assessment 1: References

Bade, B. C., & Dela Cruz, C. S. (2020). Lung Cancer 2020. Clinics in Chest Medicine, 41(1), 1–24. https://doi.org/10.1016/j.ccm.2019.10.001 

Bialous, S., & Da Costa e Silva, V. L. (2022). Where next for the WHO Framework Convention on Tobacco Control? Tobacco Control, 31(2), 183–186. https://doi.org/10.1136/tobaccocontrol-2021-056545 

CDC. (2022, November 28). Health Problems Caused by Secondhand Smoke. Www.cdc.gov. https://www.cdc.gov/tobacco/secondhand-smoke/health.html#:~:text=Among%20adults%20who%20do%20not 

CDC. (2023, January 23). Learn About Infection Control in Health Care | Project Firstline | CDC. Www.cdc.gov. https://www.cdc.gov/infectioncontrol/projectfirstline/healthcare.html?s_cid=PFL-GOOGLE-COMBINED-EN-28&gclid=CjwKCAjw3POhBhBQEiwAqTCuBpY3kn-k7yZQ_rVCvkwfOfA87b8L_EZFok1NVA6SibMVeiFKqM1IyhoC-UkQAvD_BwE 

Cornelius, M. E. (2020). Tobacco Product Use Among Adults — United States, 2019. MMWR. Morbidity and Mortality Weekly Report, 69(46). https://doi.org/10.15585/mmwr.mm6946a4 

Khoramdad, M., Vahedian‐azimi, A., Karimi, L., Rahimi‐Bashar, F., Amini, H., & Sahebkar, A. (2019). Association between passive smoking and cardiovascular disease: A systematic review and meta‐analysis. IUBMB Life, 72(4). https://doi.org/10.1002/iub.2207 

Levy, D. T., Warner, K. E., Cummings, K. M., Hammond, D., Kuo, C., Fong, G. T., Thrasher, J. F., Goniewicz, M. L., & Borland, R. (2018). Examining the relationship of vaping to smoking initiation among US youth and young adults: a reality check. Tobacco Control, 28(6), tobaccocontrol-2018-054446. https://doi.org/10.1136/tobaccocontrol-2018-054446 

McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2022). Planning, Implementing and Evaluating Health Promotion Programs. In Google Books. Jones & Bartlett Learning. https://books.google.com.pk/books?hl=en&lr=&id=1hh1EAAAQBAJ&oi=fnd&pg=PP1&dq=healthcare+promotional+plan++review&ots=5N3zoXRtit&sig=tk_SU-fTYVAuP2LllVE-jOuPMpc&redir_esc=y#v=onepage&q=healthcare%20promotional%20plan%20%20review&f=false 

Nargis, N. (2021). Healthy People Countdown 2030: reaching 5% cigarette smoking prevalence among US adults through state cigarette excise tax increases. Tobacco Control, tobaccocontrol-2021-056755. https://doi.org/10.1136/tobaccocontrol-2021-056755 

Roby, N. U., Hasan, M. T., Hossain, S., Christopher, E., Ahmed, M. K., Chowdhury, A. B., Hasan, S., & Ashraf, F. (2020). Puff or pass: do social media and social interactions influence smoking behaviour of university students? A cross-sectional mixed methods study from Dhaka, Bangladesh. BMJ Open, 10(11), e038372. https://doi.org/10.1136/bmjopen-2020-038372 

Stanulewicz, N., Knox, E., Narayanasamy, M., Shivji, N., Khunti, K., & Blake, H. (2019). Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review. International Journal of Environmental Research and Public Health, 17(1), 17. https://doi.org/10.3390/ijerph17010017 

NURS FPX 4060 Assessment 1

Tannahill, A. (1990). Health education and health promotion. Health Education Journal, 49(4), 194–198. https://doi.org/10.1177/001789699004900410 

Turkson‐Ocran, R. N., Nmezi, N. A., Botchway, M. O., Szanton, S. L., Golden, S. H., Cooper, L. A., & Commodore‐Mensah, Y. (2020). Comparison of Cardiovascular Disease Risk Factors Among African Immigrants and African Americans: An Analysis of the 2010 to 2016 National Health Interview Surveys. Journal of the American Heart Association, 9(5). https://doi.org/10.1161/jaha.119.013220 

Wheaton, A. G., Liu, Y., Croft, J. B., VanFrank, B., Croxton, T. L., Punturieri, A., Postow, L., & Greenlund, K. J. (2019). Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017. MMWR. Morbidity and Mortality Weekly Report, 68(24), 533–538. https://doi.org/10.15585/mmwr.mm6824a1 

World Health Organisation. (2022). Health Promotion. World Health Organisation. https://www.who.int/westernpacific/about/how-we-work/programmes/health-promotion

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