Health Services Research Paper

Mr A 23year-old native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking \”pot\” and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in his lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism A- Explain the specific socioeconomic,spiritual, lifestyle and other cultural factors associated with this patient. B- Explain the issues that you would need to be sensitive to when interacting with the patient and why? C- Provide five targeted questions you would ask the patient to build his health history and to assess his health risks?

Mr. A Case Study

Explain the specific socioeconomic, spiritual, lifestyle and other cultural factors associated with this patient.

Socioeconomic status looks at an individual’s education, income, occupation, as well as the inequalities within a group of individuals. Many individuals lack health insurance for many reasons. One of these reasons includes, the individual does not have a high enough education to qualify for a high paying job that would include health insurance (Findling et al., 2019). Health Services Research Paper.

It is important that we take the patients spirituality into consideration. Some patients follow a more naturalistic approach to medicine (Ball et al., 2019). Often times they follow beliefs of their culture decent. For example, some cultures don’t believe in taking medications for diseases. They prefer to use natural methods and healers (The Metropolitan Chicago Healthcare Council, 2004).

This patient believes he won’t get into heaven if he continues in his current lifestyle. This patient also states he does not take drugs, however the patient states he smokes “pot”. Many minority individuals often partake in risky behaviors. Many of these may be culturally acceptable to that individual. Native Americans have higher rates of substance abuse (“SAMHSA,” 2020).

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Explain the issues that you would need to be sensitive to when interacting with the patient and why?

Even though this patient is a Native American, we cannot assume he conforms to the same beliefs. It is important to find out his beliefs and what he wishes to accomplish for his healthcare. Mental health can be a sensitive subject to a lot of patients. Many patients, especially men, are embarrassed to discuss mental health due to the stigma that follows mental health. Men have a higher suicide rate because of this. It will be very beneficial to build a trusting relationship with this patient, and all patients, in order to provide the best patient care.

Provide five targeted questions you would ask the patient to build his health history and to assess his health risks

1. What makes you anxious? Does anything make it better or worse?
2. What happens to you physically, emotionally, and cognitively when you become anxious?
3. Have you had thoughts of harming yourself or others?
4. Have you experienced any type of abuse or trauma? Can you tell me a little bit about that? Health Services Research Paper.
5. How often/much are you drinking and smoking marijuana? 

References

Ball, J. W., Dains, J. A., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s Guide to Physical Examination an Interprofessional Approach (9 ed.). St. Louis, Missouri: Elsevier.

Findling, M. G., Casey, L. S., Fryberg, S. A., Hafner, S., Blendon, R. J., Benson, J. M., … Miller, C. (2019). Discrimination in the United States: Experiences of Native Americans. Health Services Research, 54, 1431-1441. http://dx.doi.org/10.1111/1475-6773.13224

Urbaeva, Z., Booth, J. M., & Wei, K. (2017, May 18). The Relationship between Cultural Identification, Family Socialization and Adolescent Alcohol Use among Native American Families. Journal of child and family studies, 26, 2681-2693. http://dx.doi.org/10.1007/s10826-017-0789-2. Health Services Research Paper.