Review the following patient scenario and develop a teaching plan for the patient. This plan can be created in any format (ie. Video recording, Power Point, Patient handout, etc). The plan should be patient-focused and promote patient learning. The educational plan should address all prompts.

• Robert Cleeve is a 48-year-old male patient.
• He smokes 1PPD for the last 25 years.
• He has a BMI of 32.
• His father died of an MI at age 52.
• Robert is resistant to smoking cessation and encouragement to lose weight through improved diet and exercise. He tells the nurse practitioner that “I know heart attacks run in families. Losing weight and stopping smoking will not do me any good. My dad died when he was 52, you can’t change your genes.”

In your plan for education be sure to include:

• The difference between modifiable and non-modifiable risk factors. (Consider this “in general” related to disease and not just focused on cardiovascular.)
• Discuss the role of risk factor reduction as it relates to patients with a strong family history of chronic disease.
• Address all prompts: Rather than focusing on length, focus on adequately addressing each prompt. Use current literature and clinical knowledge where appropriate.
• Cite sources: You are expected to use reliable sources such as clinical guidelines, textbooks, or peer-reviewed articles. When using external references or evidence, please include citations in APA format.