Sample Patient Interview

He tells me that his lipids have been elevated, but he is not going to take statin therapy. He has never been prescribed statins. He has not had his levels checked in the last six

On September 8, 2015 I interviewed Dr Smith at his place of business in Washington, MO. Dr Smith gave the following information: Arlene Skornia and her husband Wilbur had been patients under his care for 10-20 years. He had overseen Arlene on several hospitalizations, and surgical recoveries, finding her and her husband to be intelligent, articulate people. He had met her sons but had little direct contact with them.

Throughout the interview, Xavier’s mother answered the majority of the questions and expressed the difficulties she faces daily while taking care of her son. She also talks about the process of receiving the diagnosis of ASD, as well as a previous diagnosis that was incorrect. Xavier’s mother first noticed something different while comparing his development, mainly his speech, to that of her nephew who was around the same age as her son. She claims that he wasn’t talking at all at the age of 1 ½ and that concerned her. Xavier’s doctor said his speech was probably delayed and suggested a speech therapist as early intervention. His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn. She also claims that

Dr. Acosta’s presentation presented the Kleinman’s questions as a tool nurses and physicians can utilize to improve their cultural sensitivity. These open-ended questions attempt to address the patients’ explanatory model of illness. This model provides health care professionals with culturally sensitive information vital to designing a care plan tailored to patients’ unique beliefs and traditions. This model is a new interviewing tool I can utilize in my practice to further my understanding of my patients cultural beliefs related to their health condition.

He does not like the food such as ham, hot dogs, or strawberries that is offered with his traditional snack and has hard time adjusting to eating them. I am sure with repeated attempts and trials, he will be able to adjust to the needs foods.

Q1. This infant exhibits a genetic defect known as 21-hydroxylase deficiency classical congenital adrenal hyperplasia (CAH), which "is an inherited disorder that affects the adrenal glands" (What is 21-hydroxylase deficiency, 2010, NIH). The female infant in this case study exhibits the 'classic' form of the condition, resulting in ambiguous genitalia. "The adrenal glands are located on top of the kidneys and produce a variety of hormones that regulate many essential functions in the body. In people with 21-hydroxylase deficiency, the adrenal glands produce excess androgens, which are male sex hormones" (What is 21-hydroxylase deficiency, 2010, NIH). Females with the condition may exhibit male sex traits such hirsutism and pattern baldness as well as irregular menstruation and impaired fertility.

Some questions that I will ask a patient who loss a love one during the medical and history review, I will ask about the patient love one, and what the patient need. I will also ask, if the patient want to speak with a doctor about any questions that have come up. In addition, I will ask the patient, if he/she would like me to page the social worker or personal care. Another questions that I will ask, what are you thinking about, what would be a good death, because sharing my own thoughts on the nature of a good death may help the patient.

Amanda is a three-year-old, only child, who was currently admitted to Children’s hospital PICU with elevated blood sugar. She has been diagnosed with Type 1 diabetes and will be required to monitor her blood sugar and require insulin permanently. Amanda currently lives with her mother, who works full time, but is on leave. Her relationship with her father is unknown. Her father has attempted to visit twice, but the visit was unsuccessful due to volatile interactions between him and his mother. Security was reportedly called. Mom is demonstrating difficulty with the realities of diabetes management and remains tearful during injections or procedures. She will be required to leave Amanda for two hours a day in order to obtain education on managing Amanda’s diabetes.

Concerning the investigations studies show a good value for assessment of blood glucose and galactose level, abdominal sonar and assessment of selective serum rennin but no studies recommend screening for trinucleotide repeat expansion

He is well-built and well-nourished, in no distress. Vitals are stable. Temperature 97, blood pressure 103/53, pulse 74, regular oxygenation 100% on room air. HEENT: Head atraumatic, normocephalic. Pupils equal, reacting to light. Neck is supple. Chest is clear. Abdomen is soft, nontender. There is no hepatosplenomegaly. Joint exam is essentially unremarkable. There is no active synovitis or skin rash noted at this time. No pedal edema.

As learning takes place, it is important for students to identify whether or not they have an understanding of a concept, or can just regurgitate information. The purpose of a Clinical Interview is to analyze the answers and choices that students make in order to see what they do or do not understand. From this knowledge, teachers can help students develop a better understanding by extending multiple concept connections. According to Ginsburg (1997), “ascertaining the state of [a student’s] mentality” is a good way for teacher’s to identify areas of concern in terms of understanding. Often times, during these interviews, the workings that student shows reflect both their understandings and misconceptions.

You wrote a great post and I enjoyed reading it. I think that you were very through in your response and I agree with your take on the interview. I feel that the nurse was also very through in her interview of the patient. She explained everything that she was doing for the patient and when the patient asked a question she explained the answer so that he could understand. So she did a great job of educating the patient which I feel did a lot for her credibility as a healthcare provider. I also feel that the patient was satisfied with his care when he let the clinic and that he will be more compliant in his treatments this

Discuss the questions that would be important to include when interviewing a patient with this issue. The provider should also inquire about the onset of symptoms (abdominal pain, and nausea), previous history associated with the symptoms, about any traumas, and urinary or bowel symptoms. Inquiring about the patient sexual history is important too and the “5 Ps” (partner, practice, protection, past STDs, and pregnancy prevention) can be used as a guideline to determine the patient risk factors for developing a PID. Partners: Ask questions to determine the number, sex, and concurrency of the patient's sex partners. Practices: Explore the types of sexual activity that the patient engages in, such as vaginal, anal, and oral sex. Protection from

Discussion: Uchenna reported that he's in good health and hasn't had asthma-related illness since the last FTF. He also reported that his behavior in class is stable, he continues to earn most of his points. Uchenna informed HWE that Ms.Hartigan (IIC) has transitioned suggested that he benefit from a social skill group. Uchenna expressed interest in after school program preferably "fun activity."

There are many ways on how to interview a patient but the main goal is to build a rapport with them in order for them to be open to you. First impression is the most important because when greeting the patient for the first time they need to feel welcome. Creating an environment where they feel safe and making sure to reaffirm that everything that will be discuss will be kept confidentially unless it is harm to oneself or others. When addressing her it is necessary to be polite. For this reason, it is critical to ask what would be the name she prefer to be called and what would be the appropriate pronouns to utilize when referring to her. In the case of Lorella it’s important to underlie her strengths. For example, her attending the session and acknowledging she needs help. To ease her into a conversation an open sentence such as “What brings you here”. A following question would be “When was the last time you had a physical” this question is important because it’s crucial to rule out medical illness. Nearly ten times the rate in the US population, 1.4% are living with HIV nearly five times the rate in the US population (National Center for Transgender Equality, 2015). Lorella looks very scrawny so it’s necessary to make sure she is up to date with her physical. After the patients respond it would be necessary to apply the four principles during the clinical observation. Statistically, there is a 40% of transgenders attempt suicide in their lifetime