wk 2 HA DISC RESPO Essay.

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Case scenario
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father\’s health needs.wk 2 HA DISC RESPO Essay. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter”
Week 2 Discussion responses

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1.) Veleka M’s Main Post.
Responde to Veleka’s post below who were assigned a different patient than me. Critique your veleka’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. respond to this discussion below 5sentence and 2 reference

I am seeing an 86 -year old Asian male patient. He has a history of hypertension, GERD, B-12 deficiency, and chronic bronchitis. The patient is dependent on the daughter financially and physically. He lives with his daughter and grandkids. The daughter’s money is tight. The patient does not want to be a burden to his daughter. The patient states he has does not want to be a burden on his daughter. The patient has a different culture. He is Asian and elderly. The patient is dependent of a daughter. She must help him with meal prep, eating, and paying bills.wk 2 HA DISC RESPO Essay.

I would introduce myself to the patient. “The first meeting with the patient sets the tone for a successful partnership as you inform the patient hat you really want to know all that is needed and that you will be open, flexible, and eager to deal with questions and explanations” (Ball et al, 2019, p. 1). I would explain everything I do before doing it. I would ask these questions so I can build a relationship. “In addition to medical conditions, inquire about any substance abuse, addictions, depression, or other mental health conditions of family members” (Sullivan, 2019, p.26)wk 2 HA DISC RESPO Essay.

What is your religion?
Are you having feelings of hopelessness and depression?
Is there anything we need to know about your culture and beliefs?
Any past medical history for you and your family?
How are you sleeping?
These questions will assist in building a rapport. This will help to build our relationship. These questions will help me to understand him better. “The ability to analyze and evaluate evidence requires a knowledge base and critical thinking skills” (Dains, et al, 2019). It is important to treat everyone with respect. I would ensure to listen to the patient and let him talk. I would not be judgmental.wk 2 HA DISC RESPO Essay.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Sullivan, Debra (2019). Guide to clinical documentation (3rd edition). Philadelphia, PA: F. A. Davis

2.) chiamka’s Main Post.
Responde to chiamaka’s post below who were assigned a different patient than me. Critique your chiamaka’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. respond to this discussion below 5sentence and 2 reference
Chiamkas main post
Diversity and Health Assessments

Cultural awareness is essential during a health assessment to ensure adequate care and treatment for the patient. As APRN, diversity involves embracing patient uniqueness when interacting with patients. Cultural competence is a learning process that requires self-awareness, reflection, and knowledge of cultural issues (Ball et al., 2019). The purpose of this discussion is to explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient JC, an at-risk 86-year-old Asian male who is physically and financially dependent on his daughter. This single mother has little time or money for her father\’s health needs.wk 2 HA DISC RESPO Essay.

Patient Scenario and Factors

JC, an at-risk 86-year-old Asian male, is physically and financially dependent on his daughter, a single mother who has little time or money for her father\’s health needs. He has a history of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states, \”I came for my annual physical exam, but do not want to be a burden to my daughter.\”

Cultural factors (socioeconomic, spiritual, and lifestyle).

As APRN assigned to this patient, it is essential to introduce and ask how he would like to be addressed. An ensure to ask open-ended questions and make eye contact with the patient while building a trusting relationship. As advanced practice nurses, it is vital to recognize socioeconomic risk factors; thus, develop solutions to prevent health risks and promote patient health. Social determinants of health are defined as the conditions in which people are born, grow, live, work, age, and the systems to manage sickness or disease (World Health Organization, 2020).wk 2 HA DISC RESPO Essay.

Asian Americans are highly diverse; some have incomes and educational levels far exceeding national averages, while others have the lowest income and education levels in the U.S. The patient states, \”I came for my annual physical exam, but do not want to be a burden to my daughter.\” Use an open-ended question like \”Tell me what you mean by that \”to clarify and understand the respect for Asian culture and practice. Lifestyle factors could be addressed by consulting a social worker to speak with the patient about resources available to him to be more independent and not feel that he is a burden to his daughter.wk 2 HA DISC RESPO Essay.

As APRN taking care of the patient, explore Mr. Jc\’s religion and spirituality, thus examine the patient\’s belief beyond modern-day medicine. This will help determine the patient\’s compliance with medication and treatment; consequently, he has a history of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. The APRN should note that some cultures use herbal remedies and traditional medicine, therefore educating the patient that Western medications with herbal remedies cause harm to the patient.wk 2 HA DISC RESPO Essay.

Sensitive issues

As an APRN, it is crucial to be aware of sensitive issues when assessing the patient. Sensitive health care issues may be challenging to discuss and include sex, finances, alcohol use, drug use, or concerns about death (Ball et al., 2019). In the patient\’s scenario, the provider should be sensitive or respectful when addressing JC\’s anxiety coping strategies since the patient does not want to burden the daughter. The provider should be sensitive to jc\’s concerns with the patient\’s diet and health practice since he\’s b12 deficiency and gets B12 injection monthly. The patient\’s diet must also be considered as good health depends on a proper diet and ensure that proper nutritional needs are being met.

Targeted questions.Targeted questions are an essential component of the patient assessment as they help to build the health history as well as assess patient health risks. Before asking targeted questions, the advanced practice nurse should be mindful and sensitive to the patient\’s background, lifestyle, and culture.wk 2 HA DISC RESPO Essay.

Do you take any herbal supplements or natural remedies?
Do you take your medications as prescribed?
What are the preferred methods for treatment for illness?
What makes you feel that you\’re a burden to your daughter?
What type of income do you have?
What does your diet consist of?

Conclusion.

As an advanced practice nurse, it is essential to understand that diversity, cultural beliefs, and spiritual practices can impact a person\’s health. The examples of targeted questions that would be asked to JC to build his health history and assess potential health risks.wk 2 HA DISC RESPO Essay.

Hi Veleka,

I appreciate your valuable insight into the case of JC, a 86 year old Asian patient presenting with GERD, B12 deficiency, and chronic prostatitis. The patient lives with his daughter, who is also a single mother, and has cited that he does not like placing additional financial burdens on his daughter. I find your approach to patient interview highly appropriate. According to research, healthcare providers must approach older patients with patience, respect, and dignity (Van de Pol et al., 2015).  Introducing yourself to the patient and explaining the interview’s purpose will play a fundamental role in establishing patient-provider rapport (Dang et al., 2017).wk 2 HA DISC RESPO Essay. I believe that your targeted questions are highly appropriate for JC. However, not all questions apply to my patient, a 32-year-old pregnant lesbian attending her annual physical exam. The cultural, financial, social, and lifestyle factors affecting the two patients are different. With your introduction, I think the patient would interpret the questions to create rapport and obtain his health history.wk 2 HA DISC RESPO Essay.

I believe that cultural awareness is an important domain of nursing. It allows nurses to demonstrate cultural competence when dealing with patients with different lingual or cultural backgrounds (Kaihlahen et al., 2019). As you have stated, building rapport with the patient and establishing social, economic, cultural, and lifestyle factors that impact his health is essential. During the interview, the health professional should approach the patient with sensitivity and respect for other cultures (Ball et al., 2019).  The questions you have identified are relevant to your patient. I want to add that it would have been imperative to inquire about the patient’s religion and family support to further understand his health status. Some of the targeted questions you have asked apply to my patient. I was assigned a 32-year-old pregnant lesbian seeking an annual physical exam. Asking questions such as her diet, ability to access and afford health services, natural remedies, and preferred treatment methods would be crucial. By asking these questions, the patient would understand that the nurse intends to provide holistic care.wk 2 HA DISC RESPO Essay.