The Health History of a Patient - Free Essay Example

Sample details Pages: 3 Words: 1042 Downloads: 10 Date added: 2017/09/21 Category Health Essay Type Argumentative essay Did you like this example? The Complete Health History Virginia G Parrott Fort Hays State University Health History Health history assessment conducted on George on the fifteen of February 2010 at approximately one o’clock. George is a fifty-four year white male married with three adult children and two grand children. He has been working as a teacher for over twenty years a local middle school. This paper will highlight George’s health care issues and will identify five nursing diagnosis for him. Methods of Health History Interview Methods Informed consent obtained and applied the principled of privacy and confidentiality in the interview. Some communication skills used the interview such as touching, giving instruction, using a normal voice, leaning the body forward, introduction of self, paraphrasing, reflection and summarizing. Closed-ended questions like â€Å" are you ready? ’ or facilitation questions which allow George to further give details on how he was diagnose afte r his father became gravely ill, which allowed communication to remain therapeutic. Jarvis state that the nurse brings knowledge from the physical, biological and social sciences to the assessment. This knowledge enable the nurse to ask relevant questions and collect relevant physical assessment data related to the client’s expectation of care and underlying health care needs. Clarification questions are significant especially in George’s case where he admits to not being complaint in medication and lifestyle over the last five years. Silent would be appropriate at this time, allowing George to therapeutic communicated. Jarvis mention that respect for a person means treating patients as people with rights. It means respecting an individual‘s autonomy, protecting, and the ensuring duty of truthful. Open-ended question offers George the opportunity to express what was difficult about being complaint with his medications. Listening and being attentive to the p ersonal information he was sharing during the assessment . While carefully observing George‘s non verbal communication. George did not appear to be defensive to any of the question and did not receive any non-therapeutic feedback Health History George states he been healthy most of this life and then approximate five years ago, he was diagnose with coronary artery disease and non-insulin depend diabetic, hypertension, hypercholesterolemia, gout, and GERD in 2000. George had an angioplasty with one vascular stent to the lateral anterior diagonal and one vascular stent to the circumflex in 2005, angioplasty with vascular stent to the right coronary artery in 2008, angioplasty with re-vascular stenting the lateral anterior diagonal and one vascular stent to the distal circumflex in 2009. He also transition to being a insulin dependent diabetic in 2009 and has coronary by-pass graft (CABG) surgery. His surgical history was cholecystectomy in 2007, right knee surgery in 1993, an d CABG time five in 2009. He is an ex-smoker who stopped after his CABG in September 2009, 10/day for 30-40 years. His current medication included Metoprolol 25 m BID, Simavastatin 40 mg daily, Lisinopril 5 mg daily, Coreg 12. 5 mg daily, Cymbalta 60 mg daily, Metanx tables daily, Novo Log 200units daily, Lantus 160 units daily. George has no known allergic and last examination was with his cardiologist February 4, 2010. George’s Family History His family history reveals that is father and father’s mother had coronary artery disease. His mother is a diabetic and her mother died of a cerebral vascular accident at the aged of seventy-six. His father passed away at eighty-four years of aged and his mother died at the age of eighty-five. His sister at the aged of fifth-five has hypertension. Nursing Diagnosis Caregiver Role Strain risk for relate to unpredicted illness. Health teaching will be providing information on disease process and management strategies. Encour age caregiver to set aside time for himself. This could be as simple as a relaxing bath, a time to read a book, going out with friends. Acknowledge to caregiver the role he is carrying out and its value. Teach caregiver to identify how important it is to feel appreciated for their efforts. Encourage care recipient to thank caregiver for care given. Provide time for caregiver to discuss problems, concerns, and feelings. Ask caregiver how he is managing, Inquire about caregiver’s health. Refer to social worker for referral for community resources and/or financial aid, if needed. Cardiac Output, decreased. Health Teaching will cover the administer medication as prescribed. Explain symptoms and interventions for decreased cardiac output related to etiological factors. Explain drug regimen, purpose, dose, and side effects. Explain progressive activity schedule and signs of overexertion. Explain diet restrictions (fluid, sodium). Follow up with Dr Farhoud, cardiologist as dir ect or needed. Pain Chronic related to impaired comfort. Health teaching will be providing teaching on neuropathy and medication as directed. Teaching about using no pharmacological pain management strategies for example:Cold/heat applications, progressive, relaxation, imagery, and music. Teach the patient and family about the use of pharmacological interventions for pain management. Follow up with Dr Guthrie, endocrinologist, as directed or as needed. Interrupted family Processes related factors: illness of family member. Health Teaching will be providing opportunities to express concerns, fears, expectations, or questions. Encourage family members to seek information and resources that increase coping skills. Assist family in breaking down problems into manageable parts. Assist with problem-solving process, with delineated responsibilities and follow-through. Identify community resources that may be helpful in dealing with particular situations (e. g. , telephone hotlines, self -help groups, educational opportunities, social service agencies, and counseling centers). Health –Seeking Behaviors Health teaching in assisting the patient in developing a self-contract to enhance the patient control over behavior and sense of competence. Allow periodic evaluation, feedback, and revision of health plan as necessary. Reward positive efforts and achievement. Guide the patient in setting realistic goals. Prepare for lapses and relapses . Learn relaxation techniques to reduce urge (e. g. , make self-limp, visualize a soothing, pleasing situation). Breathing exercises help release tension and overcome the urge to smoke. Seek social support. Refer patient to self-help groups as appropriate. Conclusions: The interview results to indentify five nursing diagnosis and health teaching. It indicated that people do have physical and psychological changes; with medical problems. George has declared that after the CBAG that he is fortunate to get a second chance. He has quit smoking and has been extremely obedience with his self-care behaviors. He will continue to seeking medical advice from all his physicians. He has been more accountability and conscious of his health care needs and issues. Don’t waste time! Our writers will create an original "The Health History of a Patient" essay for you Create order

Breaking The Law Should Not Be Broken - 1856 Words

In the recent discussions of laws, an issue has arisen about the correctness of breaking laws. On one hand, some argue that breaking any laws would create a state of anarchy, and as such, needs to be avoided at all cost. On the other hand, there are people who argue that breaking the law is necessary to the improvement of our world. They say that the only way for people to understand the wrongness of a law, the law must be broken. In short, the issue is whether breaking the law should or should not be done. My own view is that non-utilitarian laws must be broken but the consequences of breaking such laws must also be followed. Socrates presented a concept about which laws should be followed and which should not. While talking to his friend Crito, after being sentenced to death, in The Crito, Socrates talks about ideas, saying that, â€Å"one should regard the good ones and not the bad† (Plato 263). Socrates believes that when talking to people, one must always be on the watch for lies or misconceptions. He believes that when there are false beliefs, those beliefs need to be ignored and rejected. Because of all the possible ways that bad ideas can get into a conversation, one must always listen to words with a grain of salt. By extension, as laws are created by the ideas of people, there are laws that should be disregarded and all laws need to be accepted with grains of salt. Though I agree that bad ideas, and by extension bad laws, should never be treated as truths are treated,Show MoreRelatedThe Influence Of Direct Action794 Words   |  4 Pagesfor the people that surround you there isn’t enough being done to create great impacts on those who disagree with you and your tactics. 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Data collection techniques Free Essays

A non-probabilistic sampling technique – the convenience sampling method, was utilized in this research. Since there was only one group, the issue of subject assignment to groups did not arise. Even though the convenience sampling method is easy to organize, cheaper and fast to carry out, the subjects chosen are usually not representative. We will write a custom essay sample on Data collection techniques or any similar topic only for you Order Now Therefore, it is virtually impossible to generalize the outcomes of this study. Since the outcomes cannot be generalized then the study can be thought of as lacking in validity. Besides, the convenience sampling method enhanced the possibility of bias in the study. Data was collected using a questionnaire. The questionnaire used was a 14 question survey instrument. The instrument was sectioned into 3 parts with 6 questions in part 1, 4 questions in part 2 and 4 questions in part 3. The type of data collected was primary data and was qualitative in nature. A major flaw in this research is that calculation of the validity and reliability of the test instrument was not conducted. No controls were used Research methodology In terms of the research methodology and design used, the research was an empirical, qualitative study. As it was conducted in the real world setting, it cannot be easily replicated, and lacks internal validity as well. Â  Lack of internal validity is indicated by the absence of alternative explanations to the outcomes obtained. Besides, the study is more prone to subjective interpretation, lacks external validity since the data was particularized to one case, and it is not possible to generalize the findings to other settings. Other flaws in the design include the possibility of bias in the survey instrument, interviewer bias, bias in the questionnaire design, learner bias and bias in the administration of the questionnaire. Statistical analysis The investigators made use only of descriptive statistics. Since no inferences were being sought, no relationships were being examined and the data was qualitative, the statistical method chosen was very suitable for the study. The data analysis is appropriate to answer the specified research question. Critique of article The study is presented in a simplified manner, has logical flow, and the reader is able to follow the article with relative ease. Even so, the researcher could have made better use of graphics by using graphs, pie-charts and bars to present the outcomes. Since it was devoid of recondite terms and terminology, the writing style is deemed to be appropriate for the target audience. Flaws in the structure of research pertained to the design and include lack of validity and bias. To reduce the errors and flaws identified in the study, the researcher can use randomized sampling methods. To eliminate bias in questionnaire design, appropriate formatting should be done and redundant and lengthy questions avoided. Bias due to administration of the questionnaire can be eliminated by blinding the interviewer. This will also help to ensure the objectivity of the interviewer. The test-retest method can be used to enhance the validity of the outcomes and culturally sensitive questions formulated. Language used should be consistent, unambiguous and devoid of jargon. Finally, respondents should not be asked to answer attitudinal, behavioral or knowledge questions for others. How to cite Data collection techniques, Papers

Design Evaluation for Online Gift Shop User- MyAssignmenthelp

Question: Discuss about theDesign Evaluation for Online Gift Shop User. Answer: Design Justification The UI (user interface) design is developed for an online gift shop named Rose Online Gift Shop so that they can represent themselves online. The user interface design has been developed for the ease of customers to place order of gift items available in the shop from their home. The user interface mainly provides an insight into services being offered by the online gift shop so that the users can choose from the variety of products or items being sold by the gift shop. The online gift shop UI design has been prepared by studying the various existing online shops. The designs of the various existing websites in the same business have eventually helped to identify the appropriate design that have to be made for ease of users to access the interface. The evaluation of the existing designs has provided an insight into the proper placing of components so that the users can easily navigate through the gift shop being online. The interface was composed by taking after the models of plan an d convenience determinations. The particular UI design for the interface of the gift shop to be online is selected as it will be easy for the users to use the website to place their order by selecting gift items or products. The design of the interface has been determined as it offers a stylish look and feel for the users so that they are comfortable to use the interface. The design being chosen has functionalities for navigation and has added navigation bar so that the users can move from one place to another without any hassle. The items or the gift products being offered by the gift shop are being provided category wise in the interface design so that the customers can choose according to requirements. User Requirements The interface has been design for fulfillment of the desired objectives as it has each usefulness that has been resolved in the design proposition. The design is direct and easy to use that concentrations out to be a positive viewpoint for attracting customers. Next, the interface being made has been incorporated with a hunt bar so that the customers can without a lot of an extend request from the open things in the gift shop to be online. There is a shopping crate given in the interface arrange not in any manner like a bag for shopping in any physical store so that the customers can incorporate their determination of things and examine for obtaining of various things. The shopping crate encourages the customers to incorporate, adjust or delete things as per the determination of customers before proceeding to clear demand setting system. The interface has been moreover embedded with an assistance page to outfit the customers with chart of some general issues being stood up to while p utting in their demand and how to decide them. There is in like manner another module being executed in the interface for effortlessness of the customers to pay early while presenting their demand. The page for ordering being designed in the User interface demonstrates the overall summary of the purchase and total amount that the users have to pay for their purchase. Design Framework The UI for the gift shop to be online has been arranged considering the specific necessities chosen from configuration suggestion. The arrangement has been made with the ultimate objective that at every movement of using the online gift shop, the customers don't stand up to any inconvenience to present their demand of feel that the webpage or convenient utilization of the online gift shop is eccentric in nature. The interface has been set up in this manner that the customers can without quite a bit of an extend put in their demand for particular things for gifts by either looking or scrutinizing open things. The arrangement has been picked so that the customers can put in their demand by taking after very much requested procedure. The contemplations and thoughts for illustrating the interface has been amassed from various available gift shops being online however the most direct modules from those have been decided for this particular wander. The outline systems for locales have furt hermore been considered to ensure that the interface is being arranged by principles for plan and ease of use. The designing of the user interface in this project has been done by gathering information from the following sources: https://www.hardtofind.com.au/ https://www.latestbuy.com.au/ https://www.thegoodstore.com.au/ Conclusion The evaluation of the UI in context to the Rose gift shop for online presence has helped to understand the principles of designing user interface. The design proposal being developed for the online gift shop was considered while designing the interface for users of the shop so that they can easily place their orders. The design of UI for Rose gift shop has been done with perfection such that it meets the requirements of the users. The design of the user interface is suitable for the determined gift shop for online presence as the contents are placed in a sequential manner so that users can easily browse through the store. Bibliography Banerjee, I., Nguyen, B., Garousi, V., Memon, A. (2013). Graphical user interface (GUI) testing: Systematic mapping and repository.Information and Software Technology,55(10), 1679-1694. Charfi, S., Ezzedine, H., Kolski, C. (2015). RITA: a useR Interface evaluaTion frAmework.J. UCS,21(4), 526-560. Hart, P., Bierwirth, R., Fulk, G., Sazonov, E. (2014, August). The design and evaluation of an activity monitoring user interface for people with stroke. InEngineering in Medicine and Biology Society (EMBC), 2014 36th Annual International Conference of the IEEE(pp. 5908-5911). IEEE. Page, T. (2014). Skeuomorphism or flat design: future directions in mobile device User Interface (UI) design education.International Journal of Mobile Learning and Organisation,8(2), 130-142. Plaisant, C., Wu, J., Hettinger, A. Z., Powsner, S., Shneiderman, B. (2015). Novel user interface design for medication reconciliation: an evaluation of Twinlist.Journal of the American Medical Informatics Association, ocu021. Zen, M. (2017).A methodology for assessing aesthetics of a graphical user interface of an information system: visual measures-based automated evaluation(Doctoral dissertation, UCL-Universit Catholique de Louvain).