Identifying The Components Of A Client 's Health History

To effectively provide health care services to my patients, I undertake to listen to issues raised by patients and their relatives. During the process of interacting with my clients I will first of all introduce myself to

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Health teaching will be providing information on disease process and management strategies. Encourage caregiver to set aside time for himself. This could be as simple as a relaxing bath, a time to read a book, going out with friends. Acknowledge to caregiver the role he is carrying out and its value. Teach caregiver to identify how important it is to feel appreciated for their efforts. Encourage care recipient to thank caregiver for care given. Provide time for caregiver to discuss problems, concerns, and feelings. Ask caregiver how he is managing, Inquire about caregiver’s health. Refer to social worker for referral for community resources and/or financial aid, if needed.

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

* Cancer, Heart Disease, Unintentional Injury, Lower Respiratory Disease, CVA, Suicide, Alzheimer’s, Diabetes, Liver Disease, and Influenza/Pneumonia (El Paso County Health

If not, an alternative would be to ask their family or friends for their history, preferences, wishes and needs. However, if they do not obtain any family or friends as well as not being capable to communicate with, then a meeting would be set up to discuss the needs of what the individual may require, along with following information that their GP would supply.

The first questions asked the family about their perceptions of their own health and about what

Women are subservient to males, and males may be dependent on the female of the household. There is a high incidence of alcohol abuse among men. Adolescent children are often less mature for their age. Family and friends should be allowed to remain with a dying patient, and organ donation is viewed as helpful to others. The belief that nothing new happens today that has not happened in the past may affect what illness/sickness leads people to seek health care. I should maintain a distance appropriate for care delivery and investigate health care beliefs or practices. Monitor for signs and symptoms of safety issues within the family unit. Do not assume that maturity is linked to age. Provide time and space for family to be with hospitalized family

What chronic diseases do you see most often in your patients? What is the prevalence rate for the chronic disease you have identified in your practice? What illness behaviors do you see in your patients? Is this typical behavior according to your text? How do their family members react?

The first area outlined in the intake form is the client’s demographic information that included the client’s date of birth, social, insurance information, etc. necessary to process claims for reimbursement and the client’s provider information, such as primary care, and case management, to ensure fluidity for establishment of coordination of care between providers. The intake form

One of the biggest cultural issues encountered with the client is her lack of understanding about the health care systems and medical treatments needed for her son. In the past she has

I then asked her about the most common problems the clients face, and problems she encounters while working with clients and the agency she works for. For the clients, she stated, that the most common problem or challenge was depression. She stated that it was either clinical depression or situational depression. Next, for herself as a case manager she said, that she mainly gets frustrated with the staff and office politics, not the clients. For example, she said, “too many Indians and not enough chiefs”. Lastly, I then asked her about the issue of professional fatigue. She stated, that she has a lot of clients and her personal life does suffer, but she enjoys what she does so she thinks the work is worth it. Another problem is the issue of boundaries. She stated, that she does not have a

The form also includes history of substance use, trauma, relationships, occupation, education and caffeine intake which are all vital aspects of identifying a client’s presenting problem as well as getting to know the client. The form even asks about spiritual health which is another component of overall well-being. Therefore, the mental health intake form chosen asks all the necessary questions to determine what the client’s presenting problem is since it considers lifestyle, history, spirituality, relationships, etc.

The nurse could ask the client what they know about their condition, risk factors, and

Shannon’s history of being a DM1 since she was three years old directly relates to her current medical condition. Illnesses interfere with the management of diabetes because blood glucose levels are not regulated when intake of food and fluids is altered as well as the administration of insulin (Centers for Disease Control and Prevention [CDC], 2014). In addition, being ill usually causes stress on the body which increases the blood glucose levels (Robbins et al., 2010). Lastly, diabetes affects the immune system by disturbing humoral immunity, damaging neutrophil function, and depressing the antioxidant system. As a result the individual will be more susceptible to illness or have a reduced ability to fight microbes. Certain organisms thrive in hyperglycemic environments which make it harder for a diabetic clients immune system to control (Casqueiro, Casqueiro, & Alves, 2012). Since Shannon has not been eating and not taking insulin she has not been managing her diabetes during their illness appropriately. This means her body has not been able to process glucose for energy and has been forced to metabolize fat instead leading to the development of DKA (Robbins et al., 2010).