Went through a difficult divorce after 20 years of marriage

went through a difficult divorce after 20 years of marriage. She has one daughter, Sofia, aged 17, who lives part‑time with her father and part‑time with Amina. Since the separation, Amina has been living alone in a rented one‑bedroom flat above a shop on Finchley Lane in the London Borough of Barnet, close to Hendon Central. She reports the flat is noisy, which affects her sleep, and she often feels isolated when her daughter is not staying with her. Amina works as a receptionist at a dental clinic, where she spends long hours sitting at the desk and frequently skips breaks. She describes feeling overwhelmed by the increased workload, as one of her colleagues recently left and has not yet been replaced. Amina’s parents are of Indian heritage, originally from Gujarat, but she was born and raised in Leicester before moving to London in her late twenties. She previously smoked around 15 cigarettes a day for many years but quit six years ago. Several family members still smoke, and she is often exposed to second‑hand smoke at gatherings. Amina has gradually become less active, no longer attends her weekly yoga class, and relies on ready‑made meals because she feels too tired to cook. She drinks three to four glasses of wine each weekend “to unwind.” Amina booked an appointment with her general practitioner (GP) because she had been experiencing worsening breathlessness, particularly when climbing stairs or walking uphill. She also described a persistent cough that had become more frequent over the past few months, occasionally producing sputum. She told her GP that she felt tired most days, had difficulty sleeping due to coughing at night, and was worried her symptoms were starting to affect her ability to cope at work. A spirometry test was arranged. The GP invited Amina back to the surgery to discuss her results, and she was diagnosed with Chronic Obstructive Pulmonary Disease (COPD). Amina was then assessed by the practice nurse. Her observations are: SaO₂: 89% on room air. Respiratory rate: 21 breaths per minute. Pulse: 88 beats per minute. Blood pressure: 156/90 mmHg. Temperature: 36.6°C. Height: 162 cm. Weight: 94 kg. During the assessment, the nurse noted that Amina became slightly breathless walking from the waiting area to the consultation room and coughed intermittently throughout the appointment. Explain the relevance of health promotion and discuss contemporary approaches to health promotion, health improvement, illness prevention and behaviour change through the human lifespan for adult nursing practice. Outline factors that can impact on physical and mental health and discuss how the nurse can safely assess the physical and mental health needs of an individual through the lifespan drawing on appropriate models/frameworks relevant for the field of practice.