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Case Study Assignment

Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with your assigned patient. Be specific.
Explain the issues you need to be sensitive to when interacting with the patient and why.
Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
Summarize the health history interview you would conduct with this patient. Please provide at least five (5)targeted questions you would ask the patient to build their health history and assess their health risks. Explain your reasoning for each question and how you frame each for this patient.
Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.

Case #1:

46 y/o African American male who recently was seen in the Emergency Department for alcoholic withdrawal seizures and released. He was referred to the clinic for follow-up on his hypertension history. He ran out of the Norvasc prescription given by the Emergency Department. He is living in a homeless shelter now. He states that he is not drinking anymore but needs to smoke cigarettes to calm down and function.

Resources
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby.
Chapter 2, “The History and Interviewing Process”
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). F. A. Davis Company.
Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby.
Chapter 2, “The History and Interviewing Process”
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). F. A. Davis Company.
Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)


 

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