Patient Behavioral Interventions: A Case Study

This patient is a 35 y/o young women with a new diagnosis of breast cancer. Problems are the diagnosis of breast cancer, dehydration, and depression. Her depression is affecting her nutritional intake which is causing her malnutrition and poor intake. As an RN, I would encourage her to increase her daily intake and encourage

In viewing Mr. Laurane’s personal health issues as well as his family history, it appears clear that his overall well-being could benefit significantly from a weight-loss regimen that includes health education in terms of nutrition, exercise initiatives, supplements that may be taken to encourage the speeding up of a slow metabolism, etc. Mr. Laurane can only benefit from weight loss, which will reduce his hypertension, congestive heart failure, and high cholesterol, all of which pose serious threats to the patient’s long-term health if not addressed in any way possible.

Elaine is a Board Certified Behaviour Analyst (BCBA) working in a geographically isolated area running Intensive Behavioural Intervention programs as a private business. Her clientele is mainly young children under the age of 10-years old with Autism Spectrum Disorder and Intellectual Developmental Disabilities.

There is not one treatment intervention that will solve all issues. Therefore, we have to be able to evaluate each situation uniquely. Treatment intervention can involve the use of prescription drugs in order to limit the outcomes of any condition. Good interventions include good monitoring procedures, follow-ups, and support. One treatment that works for an individual may not necessarily work for the next person. The purpose of the intervention is to break a negative cycle that has become destructive to an individual. Most of the individuals that undergo an intervention will begin with a slight condition of denial. The chemical dependency on any type of drug can be detrimental to an individual and his or her family. The situation in case one, dealing with the 18 year old high school student, would be an appropriate person to implement into a treatment intervention because he will need the additional support and medical support in order to overcome his addiction.

Encourage the patient to adopt a healthy lifestyle of low-fat food choices, increased exercise, decreased alcohol consumption, and smoking cessation.

According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid

This link describes the importance of clinicians to provide culturally and sensitive services to diverse populations

There have been several policy-level measures to address the environment of the health care system and how it contributes to health disparities. First, as seen in Figure 3, the uninsured rate in the United States has declined by 43% following the implementation of the Affordable Care Act (ACA. According to National Health Interview Survey data, the increases in insurance coverage under the ACA were substantial across all races and ethnicities [11], increasing access to care for minorities which is an essential step in eliminating disparities. More notably, the ACA has also designated funding towards the diversification of the workforce. These measures took form in the U.S. Department of Health and Human Services Disparities Action

Designed for students diagnosed with emotional and behavioral disabilities (EBD) there are a numerous amount of intervention strategies and methods that can be used to implement and help students build their self-management skills. These intervention strategies are used with the intention of students ultimately learning how to control their behaviors in and out of school. Consequently, self-sufficient intervention approaches are a supported and efficient method of delivering pertinent and significant supports to students with EBD. Advocates of cognitive behavioral intervention (CBI) substantiate the communal correlation amid views and behaviors as a central credence of their method. Students

Raver and Knitize state (as cited by Bayat, Mindes, & Covitt, 2010) that “some estimates suggest 10% of preschoolers exhibit noticeable problem behaviors, with 4-6% of this population exhibiting serious behavior difficulties. Preschool children are expelled at a rate that three times more than students in grades K-12 (Bayat et al., 2010). Gilliam reported (as cited in Bayat et al., 2010) that the lowest rate of expulsion was associated with when there are behavioral interventions in the classroom. Progress monitoring and interventions are not only for academic struggles. It can be used to help with behavior issues and struggles in the early childhood classroom. Intervention teams have intervention opinions to use such as Positive Behavioral Interventions and Supports (PBIS) and function-based interventions.

As defined by the World Health Organization, obesity is “an abnormal or excessive fat accumulation that may impair health. a BMI greater than or equal to 25 is overweight and a BMI greater than or equal to 30 is obesity”. Being obese or overweight is especially common in the US and is increasing nationally and globally. As per The Online Journal of Issues in Nursing (OJIN), recent studies show over 67% with BMI greater than 25 and Americans between the ages 26 - 75 are 10% to 40% morbidly obese with BMI greater than 30. Excess weight greater than the ideal body weight is a danger to one’s health. Obesity is one of the major risk factors for many diseases such as, Metabolic syndrome, osteoarthritis, cardiovascular diseases, respiratory compromise, intra-abdominal pressures, skin conditions and mental illness and last but not least, some cancers. As a nurse, anticipating obesity-related issues will only increase and nursing care plans will have to adjust as this epidemic continues. This epidemic can and will affect the goal of Interdisciplinary Team Health Care members in providing Holistic Care in an individual who is obese.

I listen to patients and I address the issues that are most important to them. As the clinical director for the OAS community clinics at Ross University, I worked diligently with our faculty advisors to provide free clinical evaluations to the local Dominican community. We offered screening examinations for hypertension, diabetes and obesity. It was my responsibility to train the volunteers, set up the clinic, and to ensure that the clinic ran smoothly for both students and patients. The gratification that I got from promoting healthy living and disease prevention when participating in community clinics played a huge factor in motivating me to start a weekly weight management clinic with my mentor. This opportunity will allow me to continue to practice my clinical skills as I provide evaluations, education, treatment and consultation services to

In the case study about Mrs Senna who is 34 years old women, I have noticed that she has various medical issues, such as being diagnosed with obesity and diabetes type2, She has been admitted to hospital by the paramedics from emergency services due to heart attack at home. Mrs Senna has been advised by her doctor that she has developed high blood pressure and is one the risk factor of obesity. Mrs senna has been advised that she will be given various treatment such as Gastric Bypass surgery and will be provided with remedial care. Mrs Senna was

While the primary care providers will be the front line for providing the suggested counseling interventions, the emergency and urgent care facilities within the county an also reach out to at risk patients when they provide care to them. Given that many patients do not have a PCP and rather seek care at these other types of facilities, these partners too can intervene and become part of the initiative to reduce obesity through the

4. How important is the health care provider for the weight-loss product decision? What proposed advertising concept to health care providers would you implement?