Sample Patient Interview

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.

He is a fourteen year old young man, in the eighth grade, getting ready to graduate and go into high school. DJ is a very bright kid who doesn’t really like doing his schoolwork sometimes, but when he puts his mind to it, he’s capable of making A’s. Although I already know that he is a joyful and confident teenager, I figured I could use this time to dig a little deeper and get to know more about his hopes, goals, dreams, likes and dislikes. At fourteen, he’s not my little baby boy anymore; he’s growing up into a young adult with his own personality and starting to want to do things on his own. DJ is energetic and very athletic, with his favorite sport being football. As of right now he is on a traveling flag football team, and he also runs track for his school. DJ is a busy kid, which can sometimes alter the amount of time we spend together. This is another reason I felt it was best to choose interview him for the Dyadic

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 His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn.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

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.

Mr Johan experiences symptoms of panic attack when he feels self-conscious in front of other people when performing certain tasks. He reported feeling faint and had black out of thoughts during those episodes, whereby he was not able to think of anything. Both his hands would tremble and become numb. He would also be sweating but experienced no symptoms of pounding heart or choking

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

During the next DPG, I will let the mom know of his improvements that I have been able to witness since the time he has entered DPG. I am sure she has seen his improvement because she often observe DPG. I will also continue to work with the child until my last week of being an intern.

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.

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."

The most common physical characteristic noticed about these individuals after birth is short stature. If it is not found at birth, a child will stick out around 5 years of age due to not growing as fast as their peers and become diagnosed with this condition. Other typical physical characteristics include swelling of hands and feet, delay in puberty and pterygium coli (skin folds along sides of the neck) (Doswell, Visootsak, Brady, & Graham, 2006). The hairline in the back of the head will be substantially lower. Also, the eyes will appear to be slanted downward and the ears rotated farther towards the back of the head. The lack of estrogen from the missing X can cause an array of skeletal deformities.

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.

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.

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

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

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