[ANSWERED 2023] Case C 38 year old Native American pregnant female living on a reservation
Case C 38 year old Native American pregnant female living on a reservation Discussion: Building a Health History Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. To prepare: With the information presented in Chapter 1 of Ball et al. in mind, consider the following: · By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment. Case C 38 year old Native American pregnant female living on a reservation · How would your communication and interview techniques for building a health history differ with each patient? · How might you target your questions for building a health history based on the patient’s social determinants of health? · What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks. · Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. · Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. · Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. By Day of Week 1 1-Post a Summary of the Interview and a Description of the Communication techniques you would use with your assigned patient. “Case C 38-year-old Native American pregnant female living on a reservation” 2-Explain Why you would use these techniques. 3-Identify the risk Assessment Instrument you selected and Justify Why it would be applicable to the selected patient. 4-Provide at Least Five targeted questions you would ask the patient. EXPERT ANSWER AND EXPLATION Building a Health History Summary of the Interview with the Patient During the interview, the 38-year-old Native American pregnant female did not show any signs and symptoms of depression, and she even stated that her adjustment to pregnancy was reasonable. In the interview process, the patient indicated that her body mass index (BMI) before pregnancy was greater than 28, suggesting that she had healthy weight gain before pregnancy. The patient also said that the pregnancy was her third time, and she has never had any miscarriage, early infant birth or stillbirth before. Moreover, the patient has never had any history of gestational diabetes, hypertension, postpartum or depression in her last pregnancy. Lastly, she has not experienced any health complications or conditions not associated with her pregnancy in three months. Description of the Communication Techniques The communication practices I would utilize with the patient in the case assigned are two. The techniques include asking of open-ended questions and seeking first to understand (Aryani, 2018). First, asking open questions technique involves questions which the patient cannot answer with no or yes response. Aryani (2018) explains that the method helps the interviewer to get into the head of the interviewee and guide him or her to reveal his or her desires during the interview. Second, seeking first to understand technique describes the significance of truly understanding what an individual is communicating to another person (Riley & Furst-Holloway, 2019). Thus, understanding other people need aid interviews to respond effectively and in a way that builds trust and reciprocity in the interview. Reasons for Using the Two Techniques Asking open-ended questions is a useful technique that will enable me to provide value to the patient and work with her successfully. The method can lead to the building of trust and making by making the interview effective and allowing the patient to express herself (Riley & Furst-Holloway, 2019). Additionally, the primary reason why I will prefer to use seeking first to understand communication technique allows people to open their hearts and mind when addressing their health problems. Thus, allowing me to get the information faster and with no struggle, enabling me to make the patient feel great during the interview. Risk Assessment Instrument and Justification of its Applicability to the Patient EMR Risk Assessment Tool will help to reduce the patient’s maternal death and injury that the patient may experience during childbirth (Wesson, Lucey & Cooper, 2019). Bastain et al. (2019) add that the tool has benefits to the patient because it can generate new orders that facilitate caregivers to respond swiftly to unexpected risks during pregnancies. Therefore, the instrument applies to the patient in the case study due to its distinctive advantage. Five Questions that I would Ask a 38 year-old-Native American Pregnant Female The questions I would ask the patient to understand better and help me to support her during her pregnancy stated below. How is the pregnancy going with you? What is your feeling? How are you feeling regarding being pregnant? Is this the right timing for your pregnancy? What was your weight before the pregnancy? Is the pregnancy your first one? How many times have you been pregnant? Have any of the pregnancies been miscarriage, early infant death or stillbirth? Did you have hypertension, gestational diabetes, postpartum or depression during your last pregnancy? Have you experience any health complications or conditions not associated with your pregnancy? When last, did you take alcoholic drinks? Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level
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A Comprehensive Guide on Assignment Help (2023)
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[ANSWERED 2023] Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.”
Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” To Prepare Review the interactive media piece assigned by your instructor. Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment. Write a 1- to 2-page summary paper that addresses the following: Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources. What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources. Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples. BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.” Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation. SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. MENTAL STATUS EXAM Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation. Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive) RESOURCES § Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources. References Hussien, R. M., & Shoukry, A. A. (2020). Rivastigmine patch (Exelon patch) compared to melatonin patch in prevention of postoperative delirium in the elderly. Ain-Shams Journal of Anesthesiology, 12(1), 1-7. https://asja.springeropen.com/articles/10.1186/s42077-020-00087-6 Khoury, R., Rajamanickam, J., & Grossberg, G. T. (2018). An update on the safety of current therapies for Alzheimer’s disease: focus on rivastigmine. Therapeutic advances in drug safety, 9(3), 171-178. https://doi.org/10.1177%2F2042098617750555 Yoon, S. J., Choi, S. H., Na, H. R., Park, K. W., Kim, E. J., Han, H. J., … & Na, D. L. (2017). Effects on agitation with rivastigmine patch monotherapy and combination therapy with memantine in mild to moderate Alzheimer\’s disease: a multicenter 24?week prospective randomized open?label study (the Korean EXelon Patch and combination with mEmantine Comparative Trial study). Geriatrics & Gerontology International, 17(3), 494-499. https://doi.org/10.1111/ggi.12754 Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 11, “Basic Principles of Neuropharmacology” (pp. 67–71) Chapter 12, “Physiology of the Peripheral Nervous System” (pp. 72–81) Chapter 12, “Muscarinic Agonists and Cholinesterase Inhibitors” (pp. 82–89) Chapter 14, “Muscarinic Antagonists” (pp. 90-98) Chapter 15, “Adrenergic Agonists” (pp. 99–107) Chapter 16, “Adrenergic Antagonists” (pp. 108–119) Chapter 17, “Indirect-Acting Antiadrenergic Agents” (pp. 120–124) Chapter 18, “Introduction to Central Nervous System Pharmacology” (pp. 125–126) Chapter 19, “Drugs for Parkinson Disease” (pp. 127–142) Chapter 20, “Drugs for Alzheimer Disease” (pp. 159–166) Chapter 21, “Drugs for Seizure Disorders” (pp. 150–170) Chapter 22, “Drugs for Muscle Spasm and Spasticity” (pp. 171–178) Chapter 59, “Drug Therapy of Rheumatoid Arthritis” (pp. 513–527) Chapter 60, “Drug Therapy of Gout” (pp. 528–536) Chapter 61, “Drugs Affecting Calcium Levels and Bone Mineralization” (pp. 537–556) Excellent Good Fair Poor Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Be specific. Points Range: 18 (18%) – 20 (20%) The response accurately and thoroughly summarizes in detail the patient case study assigned, including specific and complete details on each of the three decisions made for the patient presented. Points Range: 16 (16%) – 17 (17%) The response accurately summarizes the patient case study assigned, including details on each of the three decisions
[ANSWERED 2023] Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment
Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance. This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3. Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following: Values/Health Perception Nutrition Sleep/Rest Elimination Activity/Exercise Cognitive Sensory-Perception Self-Perception Role Relationship Sexuality Coping Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview. Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment. Include the following in your paper: Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment. Summarize the overall health behaviors of the family. Describe the current health of the family. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Expert Answer and Explanation Family Health Assessment When working with patients, providers have to involve the patients’ family members because they offer support needed for the patient recovery. They not only make decisions, but they provide emotional support which the patient needs as they go through the illness-health process. Rather than treat a single patient, providers may instead focus on managing the health needs of the entire family unit. In this case, they perform family health assessment to determine the family’s health needs. These assessment is intended to explore various aspects of the health needs including health behaviors, and administer care that meets these needs (Goergen et al., 2016). It is imperative to examine such an assessment, and apply the Family Systems Theory (FST) to bring change in a selected family. Family Structure The family selected for the interview comprises of a couple, their three children, and a paternal grandmother. The children are all female with the eldest one being aged 12 years, the younger one being aged 9 years while the other is aged 5 years. The grandmother who is 66 years old widow no longer works, and because there was no one to look after her, she came to live with the family. The couple is doing well career-wise considering that the father is a practicing lawyer while the mother is a medical doctor (Goergen et al., 2016). The Family Health Behaviors The family, during the interview, answered assessment questions including questions related to the health perceptions. According to the family, they have never had any major health event. However, the grandmother has a history of smoking, and she has hypertension, and she tend to experience abnormal heart rhythms. None of the other members of the family use behavior-altering substances, and the parents practice good health behaviors (Goergen et al., 2016). When asked about diet, the couple stated that they are aware of the role diet plays in helping improve individuals’ health. Thus, they eat balanced diet, and they prefer home-made food over the food prepared in fast-food stores. The family also prefer to buy organic food products because they are healthy (Richards et al., 2018). The couple, still, did respond to the questions concerning the amount of hours they sleep. While the children go to bed early, and sleep for more than 8 hours a day, the couple sleep for not more than 7 hours. They stated that their busy work schedules leaves them with limited time to have enough sleep. The grandparent has a problem with elimination considering that she urinates more frequently, than she used to do. However, no any other individual has experienced elimination issues apart from the few cases of diarrhea in the family (Dorell et al., 2017). The family is serious about maintaining healthy lifestyle, and the parents engage in fitness activities in their respective workplaces. The children are taking swimming lessons, and they therefore swim on weekends (Khatiban, Tohidi, & Shahdoust, 2019). The family maintained that they are cognitively aware, and they can logically think, and get to know their environment. The senses of everyone in the family are sound, and no one in the family requires hearing aid or eye glasses. No member has anosmia either. The couple has healthy sex lifestyle, and they are able to effectively deal with the marital issues. However, they have not had any serious marital issue. Besides, they can effectively cope with challenges (Khatiban et al., 2019). Strengths linked to Functional Health Patterns The family exhibits strengths when it comes to the way it handles health issues. The fact that the couple participates in workplace-based physical activities, and eats healthy meals, shows that the family can continue adopting behaviors which promote health. Because the children are active, their risk of developing health conditions is slim. However, the grandparent is hypertensive, and this is the main concern for the couple because they feel that her condition may worsen to the level where she may require admission into the hospital. This fear can result to stress which can emotionally and