an explanation of the specific socioeconomic, spiritual

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an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the case below. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 

Case 3

Subjective Data
CC: “Annual physical exam”
History of Present Illness (HPI): 23-year-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 him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle.
Drug Hx:
Current medication – denied
Allergies: no allergies to food or medications.
Family history: is very positive for diabetes, hypertension, and alcoholism.

Review of Systems (ROS)
General: no recent weight gains of losses, fatigue, fever or chills.
Head, eyes, ears, nose & throat (HEENT):
Neck:
Respiratory:
CV: no chest discomfort or palpitations
GI:
GU:
Integument: history of eczema – not active
MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements
Psych:

Objective Data
PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6

 

General: 23 year old male appears well developed and well nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, ornasopharynx clear, poor dentition – multiple carries.
Lungs: CTA AP&L
Cor: S1S2, +II/VI holosystolic murmur; without rub or gallop
Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.
Ext: no cyanosis, clubbing or edema
Integument: intact without lesions masses or rashes.
Neuro: No obvious deficits and CN grossly intact II-XII

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To support your work, use your course and text readings and also use the South University Online Library.

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To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates.

Discussion Question 1

Evidence-based practice will be the cornerstone of your advanced practice career. Choose a health disease process that is common in the adult population and post your choice to the discussion question area with the title “Health Disease Choice.” If a health disease is posted, pick another one so that there will be a discussion on a variety of health disease processes.

Once you have decided on your topic, research two evidence-based articles. Cite your references in APA format. Do not look for less common and seldom-seen diseases; instead, look for the typical problems that you anticipate seeing in your practice as an advanced practice nurse. On the basis of the literature search and adult disease process, also discuss what parts of the complete health history would be essential in understanding a patient’s current health state and work-up completed to date.

Discussion Question 2

Differential diagnoses must be considered before choosing a final diagnosis. What criteria must be met before a final diagnosis can be made? Give an example of three differential diagnoses for a patient who complains of a sore throat. Support your differential diagnoses with a brief statement of reason. You do not have to have a final diagnosis for this patient; just work up the differential diagnoses. This is a common complaint for many patients

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Following a disaster, spirituality is greatly affected by the nature, scope

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Following a disaster, spirituality is greatly affected by the nature, scope, and complexity of the disaster. The individual could react in different ways depending on the type and severity of the disaster. For example, If the disaster was manmade, if the disaster was a natural disaster and if God or human is to be blamed for the disaster? The answers to these questions can often shed light to where the person draws strength from. For individuals, spirituality can become a battle of why and how. Why would God allow bad things to happen? How did it happen?  The overall cause that one blames for the disaster is suggestive of the belief that the person views the world through (Good Therapy, 2013)

The impact of a disaster could cause individuals, families and the entire community to have crisis in their spirituality whereby they feel neglected by God and feel the need to ask why a loving and compassionate God would allow such suffering and pain to happen to them. In such situations, they find it hard to pray and get disengaged from religious activities and continue to search for continuous reassurance that God will restore goodness to their life and provide safety and security.

A community health nurse can assist in the spiritual care of others by acknowledging their different beliefs and respecting them and their wishes. If permitted, the nurse could pray with them. When questions arise, the nurse could answer questions to the best of his/her ability as well as help direct disaster victims to the correct source for answers to spirituality questions (pastor/priest) and promote the most possible calm, controlled atmosphere in the presence of a disaster.

Reference

Good Therapy. (2013). Insights into Spirituality in the Aftermath of a Disaster.  Retrieved 2015, from

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