| Course | D222 Comprehensive Health Assessment |
|---|---|
| Task | Task 2 |
| Paper type | Health promotion plan |
| Length | About 1,200 words, 4 pages |
| Format | APA 7 |
| School | Western Governors University (WGU) |
| Program | RN to BSN |
| Updated | September 2026 |
Free sample paper for D222 Task 2
Health Promotion Plan From Assessment Findings: Shingles Vaccination and a Structured Exercise Program for a 53-Year-Old Hotel Housekeeper
Student Name
Leavitt School of Health, Western Governors University
D222: Comprehensive Health Assessment, Task 2
Course Instructor
Month Day, Year
Health Promotion Plan From Assessment Findings: Shingles Vaccination and a Structured Exercise Program for a 53-Year-Old Hotel Housekeeper
Relevant Assessment Findings
The patient is a composite 53-year-old woman who has worked as a hotel housekeeper for 14 years, cleaning 14 to 16 rooms per shift. She was born in El Salvador, has lived in the United States for 22 years and prefers to speak Spanish for health conversations. Her comprehensive assessment found five findings relevant to health promotion. First, she has had low back pain for about five months, worse after lifting mattresses and pushing a cleaning cart, rated 5 of 10 at the end of a shift, with no radiating pain, numbness or weakness and a negative straight leg raise. Second, she walks very little outside work and does no strengthening activity. Third, she had chickenpox as a child, has never received a shingles vaccine and watched a coworker miss three weeks of work with shingles last year. Fourth, her body mass index is 29.3 and blood pressure 124/78 mm Hg. Fifth, she has employer health insurance but worries about losing pay for appointments.
Health Promotion Activity One: Recombinant Zoster Vaccination
The first recommendation is the two-dose recombinant zoster vaccine, given two to six months apart. The finding that justifies it is straightforward: she is over 50, had chickenpox and has not been vaccinated. National recommendations call for the recombinant vaccine for immunocompetent adults aged 50 and older (Dooling et al., 2018). The evidence behind that recommendation is strong. In a randomized, placebo-controlled trial of 15,411 adults aged 50 and older, the vaccine reduced confirmed shingles with an overall efficacy of 97.2%, and efficacy was similar across age groups (Lal et al., 2015).
Shingles matters for this patient beyond the rash. Her job is physical and paid by the shift, and a painful episode could cost her weeks of income, as it did her coworker. The same trial found that injection-site and systemic reactions were more common in vaccinated participants, and 17.0% reported severe symptoms (Lal et al., 2015), so she should know that a day of soreness, fatigue or fever is possible and plan each dose before a day off.
SMART goal: The patient will receive the first dose of the recombinant zoster vaccine at her pharmacy within 30 days, scheduled on a Friday before her two days off, and the second dose between two and six months later, confirmed by her state immunization record at her next visit.
Health Promotion Activity Two: A Structured Exercise Program for Chronic Low Back Pain
The second recommendation is a structured exercise program aimed at her back pain, beginning with four to six sessions of physical therapy to learn core strengthening, hip hinge lifting and stretching, followed by a home routine and brisk walking. The findings that justify it are five months of mechanical low back pain linked to her work, no red flags on assessment, low physical activity outside work and a body mass index of 29.3.
The evidence supports exercise as a first-line approach for this kind of pain. A Cochrane review of 249 trials found moderate-certainty evidence that exercise reduces pain in chronic nonspecific low back pain compared with no treatment, usual care or placebo, by about 15 points on a 100-point scale, a difference the authors considered clinically important (Hayden et al., 2021). The same review found that exercise was probably more effective for pain than education alone, which matters because this patient has already been told to 'lift with her legs' without any change. Exercise also offers benefits for weight and blood pressure, though those are secondary aims here.
SMART goal: Within eight weeks, the patient will complete at least four physical therapy sessions and then do her 15-minute home exercise routine on at least four days each week, recorded on a paper calendar, with an end-of-shift pain rating of 3 of 10 or lower on most days by the 12-week follow-up.
Cultural Considerations and Barriers
Language and trust come first. All teaching will be offered in Spanish, with a professional interpreter or a Spanish-speaking nurse, and printed materials will be in Spanish at an accessible reading level. The patient says her family relies more on home remedies than on preventive visits, and she worries that vaccines 'make you sick.' Rather than dismissing this, the plan explains the difference between a short reaction and the illness the vaccine prevents, and uses her coworker's experience, which she raised herself, as the reason the vaccine is worth a sore arm.
Pay and time are the practical barriers. Physical therapy appointments will be scheduled at a clinic near the hotel on her days off or before a late shift, and the first two sessions will focus on a routine she can do at home in 15 minutes so progress does not depend on attending many appointments. Because the recombinant zoster vaccine is recommended by the Advisory Committee on Immunization Practices, most private insurance plans cover it as preventive care, and she can receive it at a pharmacy without a separate appointment. Her supervisor has previously adjusted room assignments for injured staff, and she will be encouraged to ask for lighter room loads during the first weeks of the exercise program.
Evaluation and Follow-Up
The plan will be reviewed at a follow-up visit 12 weeks after the assessment, with a telephone check at four weeks. At four weeks the nurse will confirm that the first vaccine dose was given, ask about any reaction and whether it cost her work time, and check that the first physical therapy session has taken place. If either has not happened, the call is a chance to find out why, whether it was cost, scheduling, fear of side effects or something not yet discussed, and to adjust the plan rather than simply repeat the advice.
At 12 weeks, success will be judged against the SMART goals: the immunization record for the first dose and a scheduled date for the second; the paper calendar for exercise days per week; and her end-of-shift pain ratings. The nurse will also repeat the back assessment, including range of motion and straight leg raise, and ask how the pain affects her work and sleep. If pain has not improved despite regular exercise, or if new symptoms such as leg weakness or numbness appear, she will be referred back to her primary care provider for further evaluation. If she is meeting her goals, the next step will be to add a second walking goal aimed at her weight and blood pressure, building on a habit she has already started.
Conclusion
Two findings from this patient's assessment, age without shingles vaccination and five months of work-related back pain with low activity, justify two health promotion activities with strong supporting evidence. Each activity has a SMART goal that can be checked at follow-up, and the plan is built around her language, beliefs, pay and schedule so that the recommendations are ones she can realistically carry out.
References
Dooling, K. L., Guo, A., Patel, M., Lee, G. M., Moore, K., Belongia, E. A., & Harpaz, R. (2018). Recommendations of the Advisory Committee on Immunization Practices for use of herpes zoster vaccines. MMWR: Morbidity and Mortality Weekly Report, 67(3), 103-108. https://doi.org/10.15585/mmwr.mm6703a5
Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, 2021(9), CD009790. https://doi.org/10.1002/14651858.CD009790.pub2
Lal, H., Cunningham, A. L., Godeaux, O., Chlibek, R., Diez-Domingo, J., Hwang, S.-J., Levin, M. J., McElhaney, J. E., Poder, A., Puig-Barberà , J., Vesikari, T., Watanabe, D., Weckx, L., Zahaf, T., & Heineman, T. C. (2015). Efficacy of an adjuvanted herpes zoster subunit vaccine in older adults. New England Journal of Medicine, 372(22), 2087-2096. https://doi.org/10.1056/NEJMoa1501184
What the D222 Task 2 instructions ask
The second D222 task asks you to act on an assessment. Most versions ask you to identify relevant findings, recommend two health promotion activities that address them, support each with evidence, consider cultural factors and barriers, and plan evaluation or follow-up. The assessment can come from Task 1 or from another patient, depending on your instructions. The evaluator expects each activity to be justified by a specific finding; a recommendation that would suit anyone, such as eat a healthy diet, without a link to the patient's data, will not meet the aspect. Evidence should be current and credible, such as guidelines, trials or systematic reviews.
How this D222 Task 2 example is built
The plan begins with the findings that matter, the patient's age, vaccination history, work and pain, and leaves out the rest. Each activity section opens with the finding that justifies it, then gives the recommendation in practical terms, such as doses and timing, and the evidence behind it. The cultural section addresses language, trust, schedule and cost with specific adjustments, including Spanish-language teaching and clinic hours. Evaluation is described as a timed sequence, a telephone check at four weeks and a visit at twelve, with what will be checked at each. The conclusion connects both activities back to the findings in two sentences.
Where the D222 Task 2 rubric puts the marks
D222 Task 2 aspects are each scored competent, approaching competence or not evident. A findings aspect checks that relevant assessment data are identified. Two activity aspects look for health promotion recommendations that follow from those findings, each supported by credible evidence. A cultural aspect asks for patient-specific adaptations and barriers. An evaluation aspect wants a realistic plan for checking whether the activities worked. Evaluators also consider whether recommendations match current guidance, such as vaccine schedules. APA citations of guidelines and research, and clear professional writing, run through every aspect. An evaluator will also check that each activity is realistic for this patient's schedule, income and access to care, since a sound recommendation the patient cannot follow is weaker than a modest one she can. Plans that state how success will be recognized at follow-up tend to satisfy the evaluation aspect most clearly.
D222 Task 2 help: what sends it back
The most frequent return is an activity that does not follow from the findings. Start each section with the specific data point that justifies it. Second, evidence is often a general website. Use guidelines, trials or systematic reviews, and cite them. Third, cultural sections sometimes stereotype. Base adaptations on what the patient told you, such as language preference or work hours. Fourth, evaluation plans are vague. Say when you will follow up and what you will ask or measure. Finally, check that recommendations are current; vaccine schedules and screening guidance change, and an outdated recommendation can undermine an otherwise strong plan.
Get a D222 Task 2 example written to your instructions
Send the Task 2 instructions and rubric from your D222 course of study, plus a summary of your assessment findings with identifiers removed. We write a custom health promotion plan to those aspects and return it in 24-48h. The first custom sample is free.
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D222 Task 2 questions, answered
Do my D222 health promotion activities have to come from my own assessment?
Yes. The activities are judged on whether your findings justify them, so pick the two that your assessment most clearly supports. A finding can be a symptom, a risk factor, a screening result or a gap in preventive care such as a missed vaccine.
What kind of evidence does D222 Task 2 expect?
In current versions, journal articles that support the rationale for each activity. A trial, a systematic review or a national recommendation published in a journal all work. Say what the source found and why it applies to your patient rather than only naming it.
What happens if my D222 Task 2 comes back as not competent?
You revise the aspects named and resubmit. Returns usually concern an activity without a finding behind it or a goal that cannot be measured, and both can be fixed in a paragraph. Resubmission carries no penalty.
What kinds of activities fit D222 Task 2?
Vaccinations, screenings, exercise, nutrition changes, sleep and stress management are common. Choose activities that address specific findings, as the sample does with shingles vaccination and back pain.
Where can I find a free D222 Task 2 sample paper?
The complete health promotion plan is published above with notes. If your findings are different, send the D222 instructions and your assessment summary for a first custom plan at no cost.