While it is necessary to be prepared for your patient interview by reviewing the chart and proceed with goals in mind, you also need to make sure are asking open-ended questions. These questions encourage the patient to express any possible concerns as well as free the patient from the restriction of a yes or no answer that provides minimal information. (Bickley, 1998). After you have received the patient’s story and need clarification, need to obtain targeted information, or if you need to direct the conversation yes or no questions can be most effective. It is always important to remember that we are in the business of helping people and every person has a story and deserves our respect to be
The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.
1. During the interview, the interviewer (Dr. Noonan) was able to control the session even when the client was challenging her. Dr. Noonan continued to repeat the question "How can I help you?" when the client avoided answering Dr. Noonan about why she was seeking services from her. The interviewer also maintained patient confidentiality when the client mentioned a previous coworker that had also seen Dr. Noonan. Dr. Noonan did not give any information to the client about this previous patient and she did not give any indication that she had been this coworker's doctor in the first place.
This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.
Recently, I completed a psychosocial assessment on a patient in the PHRM/ISS program. She was 21 years old, pregnant with her fifth child. When she initially walked in she seemed pleasant. Then, before we could get started she received a phone call. She politely asked could she step out and of course I said sure. Immediately, after she walked back in she seemed anxious and annoyed as evidence by her frowning and checking her phone every minute. Then, she would continue to say yes and not pay attention to the questions that I was asking. After a while, this began to bother me. This is because I would ask her a question and she would not answer or ask me to repeat myself. Then, she made a comment stating that “it does not matter and she was ready to go because she was upset.” At that moment, I knew that I needed to take an assertive stance.
There are many different mental illnesses and ailments and just as many medications to treat them. The problem is that sometimes the medications are not correct for your disorders due to similar symptoms. This leads to problems with the patients who need help, but the patients are not getting the right medications and treatment they need.
How much knowledge do we have about the medications that we are prescribed from our physician? We don’t always as patients get to much knowledge about the medications from our doctor and we rarely ask the pharmacist about any concerns, and how many of us really have taken the time to read the description of the medications that is stapled onto the medication bag. I must confess I am not very good about that myself.
The American society has taken many steps in the positive direction to ease the pressure on local law enforcement by limiting the amount of opiates doctors prescribe to patients through a system called the Prescription Drug Monitoring Program (PDMP). PDMPs allow doctors universal access to patients drug prescription history to make informed decisions on their prescription habits. However, this system only works if the doctors use the system before writing a prescription. According to the Center of Disease Control and Prevention, “Prescription drug monitoring programs (PDMPs) continue to be among the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at risk.” When doctors
Patient Presentation: Benjamin Fowler arrived 15 minutes late for his appointment today. He was accompanied by his sister, Paula Fowler. She joined us in the interview to assist Benjamin and to answer some questions concerning Benjamin's behavior. Benjamin is a 27-year-olds African American male. He wore a t-shirt with dress pants and tennis shoes to his interview. Benjamin looked like he had not showered recently. Benjamin had issues focusing on the questions during the interview. He also was distracted by objects in the office during the interview. Benjamin also spoke in a quick manner. Benjamin was not able to tell me what day it was or where he was.
Prescription medications are intended to help individuals not create new problems. When an individual is diagnosed with ADHD they often seek medical attention. Medication will often be prescribed to help this individual manage their ADHD symptoms. However, many of the medications used to treat ADHD are stimulants. These stimulants can have adverse effects on the human body. There are hidden dangers when using ADHD medications such as side effects, addiction, and classification.
Affect was appropriate. Her behavior was also appropriate. She didn’t express any thought planning or intent towards harming herself or others in any way. She denied having any mental health diagnosis, but some medical conditions. Conversation was optimistic and future oriented. Stream of thought was without disorganization. Ms. Elliot-Noon was well oriented to place, time, and person. Her intellectual ability is probably at least in the above-average range. Her concentration and attention was slightly impaired. She had difficulty with digit span forward. She was unable to correctly repeat digit sequences more than 6 digits long. She completed all other tasks with error and difficulty. Her remote, recent, and immediate memory appeared intact. I was able to establish adequate rapport with her throughout the interview and he was able to follow
That event is the one that seem to trigger the response and is connected with negative memories. She was never left alone with the nurse, and only routine temperature check and blood pressure check was performed. The nurse had to do it on her leg. Since pt came home she cannot sleep alone. She has nightmares, describes also some pictures in her mind. The patient is not verbal. Most of the interview is from the patient confirming or denying or drawing pictures or showing on her interactive device, and also communicating with her mother. So most of the information is by her mother who takes care of her.
would start by first assessing the patients cognitive level. This will allow me to determine if the patient is able alert and orientated and able to answer appropriately. I would then focus on the patient’s cough. I would ask how long the patient has had the cough, what makes it better or worse, are there any triggers, ect. I would also ask about allergies (seasonal, dust, pollen, medications, and food). If their cough is affecting their daily life, and if they have taken any home medications for the cough. I would finish by asking about the patient’s immunization and vaccination record.
This interview was ineffective. The social worker no clue to the many doctors that the client needs to see. In the future gathering resources would be an advantage for clients if I had known which doctor she was in need of. The reason why I recommended her to the Team Mental Health is because she will be evaluated and referred elsewhere need for the issues the client confess.
I am interested working in a health care delivery setting where my knowledge of drug therapy management, creating care plans and my direct and patient-centered care orientation as a pharmacist with my medical interpretation training of both Arabic and Somali languages and my cultural competence will add value in to the patient therapy outcome and in to the General wellness of the patient.