“Come on in ma’am” I uttered in Spanish to the women clad in a colorful Mayan dress near the entrance of the clinic. It was my first day as a medical volunteer in Guatemala and I had been assigned the duty of interviewing patients and formulating differential diagnoses under the supervision of Dr. Reyes, the clinics' head physician. “Tell me about your headache” I said to the patient as she took her seat. She professed that her headache, which had bothered her for two weeks, was intermittent, diffuse and of moderate intensity. Her headache was often associated with a dry mouth and bouts of fatigue, especially after long days of working under the hot Guatemalan sun. Having neither a pharmacy within walking distance nor money to spare, she had resorted to using cold compresses to aid with her discomfort. …show more content…
She responded by indicating that she mostly are black beans, white rice, and corn tortillas. She also admitted to drinking very little water throughout the day, even on the days when she worked long hours in the fields. “Migraines?" I shot at Dr. Reyes, who stood behind me supervising the patient interview. "Nope.” she answered. “Think harder. You have everything you need" she shot back. As I looked over all the information I had jotted down, I could't help but be drawn to one important fact: this patient was not drinking enough water. In a classic “voila” moment, I darted my eyes at Dr. Reyes and blurted out, “Dehydration!". " You got it, Doc." she replied with a smile. Instantly I was filled with excitement and joy. In a rural part of Guatemala, on my first day as a medical volunteer I had done something that I had never done before—made a clinical diagnosis. It was an amazing moment. One that I would never come to
Patient profile system gives all the information related to the patient. By entering the patient’s name, his or her date of birth or the Rx number all the patient history appears. It includes patient full identification detail by which you can confirmed patient’s identity. It includes patient’s name, date of birth, address, phone number, allergies, snap cap and insurance details.
A university of phoenix student conducted an interview with Kelli Flack who has an LPN working on her BSN. Kelli works at Family Health Care of Siouxland. Just a brief background on Kelli, she has been an LPN for 7 years. She received her LPN through Morningside College.
Remarkably just like any health care professionals, traditional healers in Latin America also have their own specializations and areas of practice. While some have very narrow and specific areas, such are herbalists or midwives for example; others often have been trained in various specialties and can provide the “full package care” (Trotter & Chavira, 1997). Regardless of the specialty every traditional healer always considers the illness as a complex manifestation of problems in physical, emotional and spiritual planes.
The elderly population does not like relying on others for help. Most of the time, these patients do not verbalize when they are in pain or are depressed for fear of being a burden to their spouse, children, or friends. Because of this, nurses need to be astute enough to pick up on some of the nonverbal cues for when a patient is in pain or displaying signs and symptoms of depression. The purpose of this paper is to continue my interview with R.H. and assess his risk for depression, pain, and environmental hazards. In addition, I will ask the patient if he has an advance directive or living will and based on his answer I will formulate a teaching plan on areas needing
SCD patients are regularly checked and followed by pediatrics hematologist from the time of diagnosis at a young age. The continuity of care in this setting provides a great opportunity for physicians to build strong and close working relationship with patients. When asked about which form of support was most helpful, the patient answered that it was her physician’s availability. Her physician was willing to share his personal cellphone number and to take time outside of clinic to answer any question or help in any way he could, even when the problem was outside of his realm. This demonstrated to me that the physician’s availability and willingness to go the extra mile could help establish trust and rapport with his/her patients.
[Name] is now 14-1/2 -years-old. He is seen in followup for insulin-dependent diabetes, which was diagnosed exactly 1 year ago, at the age of 13-1/2. He has been followed by me since January of 2007 and I have been in contact about twice a month with his mother [Name], who has faxed blood sugars and I have gone ahead and adjusted his insulin doses and I am very please with how well he is doing. This is an amazing teenage who really seems to take pride in taking care of himself, and is very compliant with his diabetes regimen.
The 5 questions and their answers I asked in my interviews are as follows; 1). How did the professionals such as the Dr.’s, nurses, PT, OT, etc. treat and/or interact with your father/client? My first woman told me that her father was a Korean war vet and that the majority of his Dr.’s were at the VA in MN. She was not impressed because many times they all seemed as if it was a burden for them to have to see him. She also observed young men and women there in waiting rooms who were treated with respect and they seemed to get right in to their appointment whereas her dad would sometimes wait 1 to 3 hours only to be told that they would have to reschedule. It was very sad. My second woman I interviewed told me that rarely would she ever see Dr.’s
While PSC staff is scheduling appointments, staff members should be entering an email address for the patient to receive appointment reminder and link to complete Digital Registration prior to arriving for the appointment.
XV seeks healthcare for her annual health assessment. XV denies any concerns or health complaints at time of visit except for “occasional left sided headaches.” She states “I have no current medications other than a multivitamin everyday and 2 tablets of Excedrin migraine as needed.” XV believes “health is very important.” She added “for someone to be healthy there must be a balance between physical, mental and spiritual.” XV expresses being pro-active in obtaining her yearly routine physical, gynecologic, dental, and eye examinations.
Followed doctors while conducting daily rounds, talked to patients, observed and reported their daily progress.
I totally agree with you, Dr.Smith. I had a colleague who was at her last trimester, almost approaching her date of delivery. One day, a patient got mad at something and this nurse happened to be standing near the patient, got stabbed on her abdomen. He used a clamp to stab her that was in use to clamp his foley’s catheter. With the grace of God, nothing seriously happened to that nurse or her baby. Still, she had to get admitted to induce her baby. There were no actions taken against that patient, except for a psychiatric consultation. This has happened in the previous hospital where I used to work.
When the patient first came in I think I did quite well as I welcomed
This case study discusses Adrian Mora, a banana plantation worker’s mysterious ailment. Readers travel along with Adrian through his journey of the mysterious disease, diagnosis, and alternative treatment. The doctor diagnosis Adrian with the Chagas disease, which is endemic to Costa Rica and Central South America. The doctor suggests that Adrian should get admitted to a hospital for treatment however; Adrian refuses because he is an illegal immigrant in Costa Rica. Adrian hesitantly takes the prescription from the doctor but wants alternative way to treat his disease so he would not have to see the doctor again. Finally, Adrian resides to find a plant called gavilana, hoping that the natural medication would cure him. In
To recruit patients for the clinical trial, the researchers need to clearly define the target population and find the accessible sources of population. A validity study relies on the adequate sample size. Without enough recruitment and sufficient power, there’s an increased chance of type II error. The recruitment rate is influenced by both patient and researcher. The study of Barriers and opportunities for enhancing patient recruitment and retention in clinical research: findings from an interview study in an NHS academic health science center (Adams et al., 2015) conducted a qualitative study on the barriers and opportunities for enhancing patient recruitment. Open-ended, one-to-one interviews were utilized with 11 purposive
I met Mr. Abidali due to his participation in a physician shadow program here at Banner University Medical Center. Ahmed was assigned to me, and it was a great pleasure to interact with, and teach him over the past year. His passion for absorbing knowledge was unparalleled among the crop of young adults, and reminded me of a time years ago when I first felt the spark of desire for all things medicine. It is truly enjoyable to associate with Mr. Abidali and could not be more excited in hopes to be a colleague rather than mentor.