Brief Description Of The Client Issues

Helen Stonewall is a married 32-year-old African American female. Helen was brought into see me because she had to be removed from the middle of the street by the police where she was dancing in the middle of the city street half naked at 2am without having any sense of danger. Just before that she removed from a bar where she was dancing on the table and ignoring the bartenders request to get down. Helen had consumed only two drinks before these acts were committed her medical evaluation concludes that there was no excessive use of drugs. She said, “that she was high on life”.

The client has had a strong support system in the past and is open to creating another one. This is strength because it demonstrates that the client is open reaching out to others in times of need and is a resiliency factor.

The United States is also improving education programs such as The National Diabetes Education Program, opening large originations, and improving national diabetes patient magazines, such as, Diabetes Forecast, Diabetes Health, and Diabetes Self-Management. There is also support group’s people can attend, either through internet or face to face to help with diabetic complications one may be having. A person seeking help to solve their diabetic problems can also talk to their doctor, diabetes educator, dietitian, or any member of a health care team to help solve any diabetic issues they may be experiencing. There is no right or wrong way when it comes to solving diabetes. Diabetes is basically a guessing game, what works for someone may not work for another diabetic. This is why it is important to try new methods every once in a while to see if the new method works better than the current method a person may have been using. If a diabetic is experiencing too many diabetic highs, try adjusting your insulin intake. Same if a diabetic is experiencing too many diabetic lows, try decreasing the insulin intake. Although, if a diabetic is adjusting their insulin intake it is very important to talk to your diabetic educator or health care provider to let them know the changes you’re trying. It is also very important for a diabetic to check their blood glucose levels more frequently during this new change. Checking the glucose levels more frequently will be able to tell the diabetic if the changes are positive of negative to their

What is one thing that you taught your patient? Why did you pick this topic? Was your teaching effective? Why or why not? What could you have tried to do differently to be more effective? Did you document your teaching? One thing that I taught my patient was that his opioid medications are what are causing him to be constipated. This topic came up because he mentioned to me that he hasn’t had a bowel movement for a few days now. I notified the nurse about the patient being constipated, as well as, I educated my patient on importance of continuing to notify a nurse about being constipated. My teaching was effective because the patient continued to notify the nurse and received Senna. I thought my teaching was

If the students get a nutritious meal then the students could function right and have a better state of mind throughout the whole day. Charles

3) Goal setting- allow the client to set reasonable goals for his/or herself. Once the goal has been established, then we will discuss how important it

Again, its simplicity make suggestions to the patient without being too detailed or overbearing the message is easily understood. The included pictures also tell a story, conveying information to the reader without the use of any words. In my experience of working with patients on any type of educational need, short and to the point is all that is needed to plant the seed for the realization of the need for a lifestyle change. It is also important for anyone completing patient education to realize that the patient’s literacy level has a direct impact on the patient’s health and future healthcare needs. I do not have any recommendations or suggestions to improve the selected

I agree with your recommendations regarding lifestyle changes, along with your education and counseling. As far as referrals, I like how you referred your patient to a certified diabetic educator. However, as doctor Caroline Trapp mentioned in the class, don't forget to write a prescription for diabetes self management education and training, along with the referral. Thank you for your insightful posting.

Chronic pain is best acknowledged by understanding the person and how they live. Client A (as he will be known) lives with pain on a daily basis, as do thousands of people. Currently, Client A is trying to deal with high stress levels and this is affecting his work and personal relationships, as well as life in general. So what is happening to Client A from a biological, physiological and social aspect and how can these changes affect the musculoskeletal system enough to create pain? Client A did not wake up one morning and his pain began. His pain journey is a process of ………changes. began developed needs to begin with confirmation that his pain is real and what he is experiencing is normal but his actual journey is unique to him. As a therapist, it is about recognising specific mechanisms and understanding how they

On 1/19/2016, CM met with the client and completed Bi-Weekly ILP Review and for housing follow up. In the meeting client was dressed appropriately for the weather. She appears to be cooperative, friendly and calm. She continues to complain about other residents in the “D” dorm. Today, she complains about bed no. 9 harassment towards others residents. She also states she can wait for her to move out the shelter.

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

Interventions to achieve the goals are: Continuation of Low Energy High Protein (LEHP) diet advised by the dietician, in conjunction with regular physical aerobic exercise, at least 30 minutes per day, initially a few days a week increasing up to every day as per tolerance (RACGP & Diabetes Australia, 2016). Asking Michael to keep a diary of his blood glucose levels throughout each day, documenting the time and reading in combination with what he has eaten, will help to better manage and promote awareness for Michael over his diabetes. Patient education about his conditions, the interrelatedness and interconnectedness, ensuring that Michael knows how to correctly check his blood glucose levels and correctly administered his insulin; importance of complying with medication management regime. Education about healthy eating and exercise

Students don’t always have time to eat in the morning. Sometimes kids wait until the the morning to do their work, so they don’t have time to do other things. It is hard for a lot of people to get up in the morning, so they are rushing to get ready and be on time to school. They don’t have time to eat because they don’t have time to. They have

After this, we want to work with the patient to set goals that are achievable. We have to acknowledge other concerns, if a patient does not like the food he/she is eating, provide more options that they can eat and involve the patients in every decision made so that they can feel positive. The workarounds may involve social work if the primary motive for failure to comply is finances. Social work could help if the client needs finances to do it or if the client cannot prepare meals and needs assistance. They could provide funds to make this happen and ensure the assistant is capable of preparing and ensuring that the diabetic client is eating the right foods and is also learning how to prepare them. This helps to provide a buffer, increase self-efficacy, limit negative health behaviors and relieves the stresses the individual is already going through living with diabetes. If an inability to prepare diabetic meals is the problem; patient education will be necessary and the patient will need to apply what he/she has learned while in the hospital so that we know that they can do it right. If the patient is forgetful, technology can be used to remind the patient to only consume a particular food at a particular time. Lastly, if physical limitations are the cause, a physiotherapist can see patient weekly in addition

The most important method to control and prevent diabetic complications is self- care. In order to manage their diabetes successfully and reduce risk factors leading to mortality and morbidity associated with diabetes related complications, patients must acquire and maintain self-management skills for achieving adequate glycemic control, blood lipids and blood pressure as well as weight management. Successful management of diabetes requires patient’s and family’s awareness in achieving and maintaining schedule for proper eye and foot care, meal plans, diet, barriers preventing adequate physical activity, blood glucose monitoring and glycated hemoglobin (A1C) checked. Numerous factors affect patients’ ability to achieve the proper diabetic management goals, eg, self-control, treatment prospects, health beliefs, and extent of social support. Subsequently, diabetes management can be quite complex, requiring lifelong commitment and drastic changes to the patient’s lifestyle. Lifestyle changes necessitated by approaches to management are often difficult to implement and maintain.