preview

Comprehensive Patient Assessment Paper

Decent Essays

1. Identify two questions the NP should ask during the assessment and why? (10pts) Answer: The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) divides the substance-related disorders (SRDs) into two sub-categories, namely, substance-induced disorders (SIDs) and substance use disorders (SUDs) (McCarron, Xiong, & Bourgeois, 2009). SIDs relates to the medical conditions that are caused by the use of substances. These conditions include intoxication and withdrawal syndromes. SUDs are defined as a patient’s recurrent behavior to use alcohol and/or drugs that cause clinical and functional impairment, for example, malfunction at school, work, home, and health problems (McCarron, Xiong, & Bourgeois, 2009). Mr. HR’s …show more content…

However, for the purpose of answering this question, I would ask the following from the patient. First is a brief screening questionnaire based on CAGE-AID, as follows: Have you ever felt that you should cut down the drug/alcohol use? Have people annoyed you by criticizing your drug/alcohol use? Have you felt guilty about your drug/alcohol use? Have you ever used drugs/alcohol first thing in the morning? If one or more answers are confirmed, then further assessment is required (McCarron, Xiong, & Bourgeois, 2009). CAGE-AID questionnaire is not only easy to administer, but also has a very good sensitivity and specificity to assess severity of drug abuse (Leonardson et al. 2005). Second, it is important for the clinician to assess and to ask the question to the patient that if the car accident was related to the any types of substance use. History of substance use and/or positive drug screen exhibit poor judgment. It indicates Mr. HR is at a risk of injury and remission related to excessive consumption of …show more content…

Each individual’s culturally based response to pain is divided into two categories: stoic and emotive (Marcia, 2011). Patients with stoic character response to pain in a less expressive way. They are more tending to bear with the pain and withdraw socially. On the other hand, emotive patients’ response to pain tends to be more verbalizing their expressions of pain. They like to have people around them and also react to their pain as well as to validate their discomfort (Marcia, 2011). A broad generalization is that patients from Hispanic (Mr.HR is Hispanic background), Mediterranean and Middle Eastern background are more likely to be emotional and expressive about their pain. Other groups, patients from Asian, Scandinavian and Northern European cultures are considered to be more stoic (Marcia, 2011). As a provider, we can use cultural factors to understand the patient’s reaction to pain, but we have to keep in mind that we cannot expect that the same behaviors or beliefs apply to everyone in the same culture (Marcia,

Get Access