The document discusses the emotional impact of a breast cancer diagnosis on families. It begins by describing how the author's aunt believed she had breast cancer, which shocked their family. It then discusses how families of breast cancer patients deal with the emotional burden in addition to any economic and financial strains. Support groups are offered to help families cope. The author reflects on their aunt's diagnosis and treatment, and how it affected their whole extended family. Nurses play an important role in supporting both patients and their families through the difficult experience.
The nurse was called to assess a patient in the emergency room who was being discharged despite concerns from the nursing staff. After speaking to the physician and learning the patient's history and living situation, the nurse performed her own assessment finding the patient to be weak, confused and in no condition to be discharged. She advocated for the patient to be transferred to another hospital where he could receive needed dialysis and care given his inability to care for himself at home. After involving the hospital administrator, the transfer was approved. The nurse's thorough assessment and advocacy ensured the patient received appropriate treatment.
The document discusses why patients should aim to become expert patients. It provides the story of "Linda" who reluctantly attended an expert patient workshop and blossomed, going on a family holiday and making plans to emigrate. It also shares the author's own story of struggling with undiagnosed conditions until attending an expert patient workshop helped reduce feelings of isolation and increase confidence. The expert patient concept is important as it empowers patients by making them experts in their own conditions and recovery.
The document discusses conflicts that may arise for health care providers and ways to address those conflicts. Specifically, it discusses a scenario where a cardiovascular doctor sees an obese female patient and questions whether the doctor should address the patient's weight or not. It argues that health care providers need to take a more empathetic approach and address the total health of the patient, including lifestyle and socioeconomic factors, rather than just the presenting condition.
Therapy dogs were used in a 2014 study measuring their impact on pediatric oncology patients. One child in the study, 5-year old Bryce with leukemia, would meet with a therapy dog named Swoosh for 20 minutes before appointments. Swoosh helped distract Bryce from his treatments. Immunotherapy is a new treatment for relapsed acute lymphoblastic leukemia showing a 93% remission rate. T cells are taken from patients and reengineered to recognize cancer, then reinfused. Teddy bears are known to comfort sick children, and a teddy bear named T-Bear visits patients at Seattle Children's Hospital to provide hope.
This document summarizes reader feedback for the book "Cancer-Free" by Bill Henderson. It includes testimonials from readers who used the book's non-toxic approaches and saw their cancer go into remission. A doctor also praises the book for being an outstanding resource on natural cancer treatments. The document establishes the book as providing helpful information that has allowed people to battle cancer successfully without toxic therapies.
This document summarizes the stories of two women, Mary Eigel and Rita-Marie Geary, who have lived with chronic pain for most of their lives. It describes how attitudes and treatments for chronic pain have changed over time. Both women grew up in environments where pain was not discussed openly and treatment options were limited. However, they now have access to more support, information resources, and a wider range of medical and alternative treatment options. This has helped them to better manage their pain and lead more active lives.
Mr. Green is a 68-year-old man from Detroit, Michigan who was interviewed about his medical history and daily living. He has diabetes, kidney failure, high blood pressure, heart failure, and depression. He receives care through Meridian Health Plan and sees various specialists. Mr. Green discussed his family history of illness, past injuries and conditions, and challenges with memory loss, hearing, and urination due to his failing kidneys. He relies on his wife for transportation and support and feels that his current needs are being met.
The document discusses the emotional impact of a breast cancer diagnosis on families. It begins by describing how the author's aunt believed she had breast cancer, which shocked their family. It then discusses how families of breast cancer patients deal with the emotional burden in addition to any economic and financial strains. Support groups are offered to help families cope. The author reflects on their aunt's diagnosis and treatment, and how it affected their whole extended family. Nurses play an important role in supporting both patients and their families through the difficult experience.
The nurse was called to assess a patient in the emergency room who was being discharged despite concerns from the nursing staff. After speaking to the physician and learning the patient's history and living situation, the nurse performed her own assessment finding the patient to be weak, confused and in no condition to be discharged. She advocated for the patient to be transferred to another hospital where he could receive needed dialysis and care given his inability to care for himself at home. After involving the hospital administrator, the transfer was approved. The nurse's thorough assessment and advocacy ensured the patient received appropriate treatment.
The document discusses why patients should aim to become expert patients. It provides the story of "Linda" who reluctantly attended an expert patient workshop and blossomed, going on a family holiday and making plans to emigrate. It also shares the author's own story of struggling with undiagnosed conditions until attending an expert patient workshop helped reduce feelings of isolation and increase confidence. The expert patient concept is important as it empowers patients by making them experts in their own conditions and recovery.
The document discusses conflicts that may arise for health care providers and ways to address those conflicts. Specifically, it discusses a scenario where a cardiovascular doctor sees an obese female patient and questions whether the doctor should address the patient's weight or not. It argues that health care providers need to take a more empathetic approach and address the total health of the patient, including lifestyle and socioeconomic factors, rather than just the presenting condition.
Therapy dogs were used in a 2014 study measuring their impact on pediatric oncology patients. One child in the study, 5-year old Bryce with leukemia, would meet with a therapy dog named Swoosh for 20 minutes before appointments. Swoosh helped distract Bryce from his treatments. Immunotherapy is a new treatment for relapsed acute lymphoblastic leukemia showing a 93% remission rate. T cells are taken from patients and reengineered to recognize cancer, then reinfused. Teddy bears are known to comfort sick children, and a teddy bear named T-Bear visits patients at Seattle Children's Hospital to provide hope.
This document summarizes reader feedback for the book "Cancer-Free" by Bill Henderson. It includes testimonials from readers who used the book's non-toxic approaches and saw their cancer go into remission. A doctor also praises the book for being an outstanding resource on natural cancer treatments. The document establishes the book as providing helpful information that has allowed people to battle cancer successfully without toxic therapies.
This document summarizes the stories of two women, Mary Eigel and Rita-Marie Geary, who have lived with chronic pain for most of their lives. It describes how attitudes and treatments for chronic pain have changed over time. Both women grew up in environments where pain was not discussed openly and treatment options were limited. However, they now have access to more support, information resources, and a wider range of medical and alternative treatment options. This has helped them to better manage their pain and lead more active lives.
Mr. Green is a 68-year-old man from Detroit, Michigan who was interviewed about his medical history and daily living. He has diabetes, kidney failure, high blood pressure, heart failure, and depression. He receives care through Meridian Health Plan and sees various specialists. Mr. Green discussed his family history of illness, past injuries and conditions, and challenges with memory loss, hearing, and urination due to his failing kidneys. He relies on his wife for transportation and support and feels that his current needs are being met.
The document summarizes 5 case studies of mothers who called a postpartum health hotline seeking help for symptoms of postpartum depression:
Case 1 involves a mother with an 8-month-old and older child who has a history of depression and is struggling with breastfeeding.
Case 2 is a mother with three children seeing her doctor for possible postpartum depression.
Case 3 is a mother with a 3-week-old who dislikes holding or breastfeeding her baby and has mood swings.
Case 4 is a first-time mother with a history of depression seeking reassurance that her symptoms are temporary.
Case 5 involves a concerned mother seeking a second opinion on whether medication during
1 Health assessment
Abiodun Kassim
Rasmussen University
Professor Ceaira Moore
Professor Gen-Gen Gutierrez
October 17th, 2022
2 Health assessment
Introduction
The case is about the health history of a family member who has had a history of arthritis
from a very young age. When he was 35 years who got his first joint pain, and since then, his pain
has gotten severe, and he is suffering from joint pain in the knees, ankles, and wrist. He has a
family background with this disease. His mother and father were both patients of arthritis.
Although he is getting medical treatment, now, at the age of 60, he cannot walk comfortably, so he
is reluctant to share his condition and review the system he is living in. The interview was
conducted with the patient, and the summary is given below.
1. Willingness Of a Person to Share Information and Ways Adopted Convince
The person was not willing to share his arthritis information. He has been a patient of this
disease for about 25 years. Initially, he did take this seriously and didn't use any proper medication.
He relied on OTC and took any medicine he thought that good for his arthritis. He was a bit
aggressive as he saw both his parents in that situation, and through medicine, he never helped in
curing. So, he didn't take his condition severe and didn't consult a doctor at the start of the disease.
He used to prefer Panadol, diclofenac sodium, and piroxicam. He was on self-therapy. With the
passage of time, the disease got severity, and now his condition is bad. He is unable to walk.
Because of his negligence, he spoiled his health badly. When I asked them to share his information
about arthritis, he was reluctant to share. But he is soft-hearted and has a very good friend to me. I
asked and took permission. Told him about my project and its importance in completing it. He
always appreciated my studies and hard work. Therefore, he melted and encouraged my efforts to
be part of the health field. So, when again I asked about his medical history, he agreed to provide
all key information. I only used the emotional strategy and motivated him that if he shared his
3 Health assessment
information with me, I would surely find some solution so he could able to walk. Like I convinced
him to do joint replacement and provided examples of patients in the hospital that joint
replacement helped them walk again.
2. Was there any part of the interview that was more challenging? If so, what part and
how did you deal with it?
Common observations and research have revoked that interviewing patients suffering from
long-term disease is sometimes challenging(Hardavella, 2017). There are different cases when it’s
hard to communicate with a patient to get an appropriate answer. During my interview with my
uncle, the time was challenging when he briefed me about his self-medication and his negligence
regarding the treatment. In that case, I have inappropriate words and phrases to ask why he was so
negligent, as he had a history of.
Cody Cambridge created a presentation to convey to people with chronically ill spouses that they can still have happy, fulfilling relationships. When Cody started dating his wife, she became chronically ill with interstitial cystitis. This caused many health problems and made it difficult for her to do activities. Cody discusses things he has learned like being patient when his wife cannot attend events, supporting her by following difficult diets together, and keeping a positive attitude. He hopes his experiences can help others in similar situations have strong relationships.
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
Sample Verbatim Process Recording Clinical Practice with Indi.docxtodd331
Sample Verbatim Process Recording: Clinical Practice with Individuals, Families,
and Small Groups
Verbatim recording should only be used for selected parts of an interview.
Student name: Linda Talbot Date of session: Dec. 1 Number of session: 3
Client Identifying Info: Ms. B. is a 58-year-old West Indian woman. She is the biological
mother of a nine-year-old boy, Kenny, in the Residential Treatment Center.
Reason(s) for referral, presenting problem(s or relevant background information): Kenny
has a history of psychiatric hospitalization and was allegedly abused by his father. He arrived at
our program in September. The agency requires that I see Ms. B. twice a month, however she
only comes monthly and she offers different reasons why she cannot come more frequently.
Focus of this session:
In this excerpt, I'm talking with Ms. B. on the telephone regarding her visits to the Agency. In
the first part of the call, she expressed her disappointment that she came all the way from
Brooklyn (a 2 hour trip) to the agency to see Kenny, but a unit supervisor denied her the right to
see her son because she didn't follow the correct visiting procedure. Then we spoke about her
future visits to Kenny and other agency requirements. I began by telling her that she has to visit
Kenny more frequently and that she has to contact us beforehand.
Selective Verbatim Dialogue/Content Thinking/Feelings and Reactions
Ms. B: I'm a little disappointed because I did
not see my son after making such a long trip.
Worker: I'm really sorry that this happened but
the agency has specific visitation procedures. I
want to remind you that you are not allowed to
walk to the cottage without contacting with my
supervisor or me. You have to call before you
come.
Ms. B: I'm an old lady. I cannot make such a
long trip every week.
Worker: I understand your situation but your
son Kenny needs to see that his mother is
giving him the support that he needs right now.
He needs to see that his family cares about
him.
Ms. B: (sounding very upset) I cannot go to the
agency so many times because I have doctors'
I feel very badly for Ms. B., but I am scared to
hear her anger.
I also feel annoyed with Ms. B. because she
should have called ahead of time. I told her the
rules and hopefully this will solve the problem.
I don’t want to hear how hard it is for Ms. B. I am
upset for Kenny and I want her to understand his
needs.
appointments and I need time for myself too.
Worker: I understand what you're going
through, but my job is to inform you about the
agency requirements.
Ms. B: I cannot visit my son every Sunday
because I have to go to church. God is the only
one that gives me the support I need. I can only
come every other Sunday.
Worker: I understand that God is very
important to you, but right now .
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
This document summarizes the author's experiences with various major health issues over a period of 10 years, including twice having heart operations, his wife's battle with and death from cancer, experiencing depression, having two strokes, and receiving a pacemaker. It provides background on his first heart operation at age 35, his wife's cancer diagnosis and treatment, her subsequent death, his struggles with depression, and receiving additional medical procedures like a second heart operation and pacemaker.
This document describes the story of a young woman who was diagnosed with glandular tuberculosis (TB). She suffered for over two years as various doctors prescribed the same medications without properly examining her case. She was constantly vomiting the medications. Finally, a doctor took the time to carefully observe her case and adjust her dosages, removing one medication, which led to her full recovery within 10 months. The document criticizes how some doctors treated her as a defaulter rather than understanding her unique medical issues, and calls for making TB programs truly patient-centered.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rdrravindrai
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rsandesh138
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities through unconditional acceptance and respect.
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within them and it is important for doctors to invoke that inner healing ability. An example is given of a doctor reassuring a patient and avoiding unnecessary medical interventions or tests.
3. The document continues with examples that illustrate the importance of considering the whole person, including their mental and emotional well-being, social factors, and lifestyle, when providing medical treatment and advice. This holistic approach leads to better health outcomes
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within themselves, and it is the doctor's role to invoke that inner healer. An example is given of a doctor reassuring a patient through confidence and simple treatment instead of tests and procedures.
3. Educational policy affects public health as well as doctors and patients. Factors like expectations, competition, and pharmaceutical influence can pressure doctors to over-treat, but focusing on the whole person is most effective.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rsuhasmhetre
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating physical ailments but also addressing psychological and social factors that impact health and well-being.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rspgondhale
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating physical ailments but also addressing psychological and social factors that impact health and well-being.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities through unconditional acceptance and respect.
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within them and it is important for doctors to invoke that inner healing ability. An example is given of a doctor reassuring a patient and avoiding unnecessary medical interventions or tests.
3. The document continues with examples that illustrate the importance of considering the whole person, including their mental and emotional well-being, social factors, and lifestyle, when providing medical treatment and advice. This holistic approach leads to better health outcomes
The document summarizes 5 case studies of mothers who called a postpartum health hotline seeking help for symptoms of postpartum depression:
Case 1 involves a mother with an 8-month-old and older child who has a history of depression and is struggling with breastfeeding.
Case 2 is a mother with three children seeing her doctor for possible postpartum depression.
Case 3 is a mother with a 3-week-old who dislikes holding or breastfeeding her baby and has mood swings.
Case 4 is a first-time mother with a history of depression seeking reassurance that her symptoms are temporary.
Case 5 involves a concerned mother seeking a second opinion on whether medication during
1 Health assessment
Abiodun Kassim
Rasmussen University
Professor Ceaira Moore
Professor Gen-Gen Gutierrez
October 17th, 2022
2 Health assessment
Introduction
The case is about the health history of a family member who has had a history of arthritis
from a very young age. When he was 35 years who got his first joint pain, and since then, his pain
has gotten severe, and he is suffering from joint pain in the knees, ankles, and wrist. He has a
family background with this disease. His mother and father were both patients of arthritis.
Although he is getting medical treatment, now, at the age of 60, he cannot walk comfortably, so he
is reluctant to share his condition and review the system he is living in. The interview was
conducted with the patient, and the summary is given below.
1. Willingness Of a Person to Share Information and Ways Adopted Convince
The person was not willing to share his arthritis information. He has been a patient of this
disease for about 25 years. Initially, he did take this seriously and didn't use any proper medication.
He relied on OTC and took any medicine he thought that good for his arthritis. He was a bit
aggressive as he saw both his parents in that situation, and through medicine, he never helped in
curing. So, he didn't take his condition severe and didn't consult a doctor at the start of the disease.
He used to prefer Panadol, diclofenac sodium, and piroxicam. He was on self-therapy. With the
passage of time, the disease got severity, and now his condition is bad. He is unable to walk.
Because of his negligence, he spoiled his health badly. When I asked them to share his information
about arthritis, he was reluctant to share. But he is soft-hearted and has a very good friend to me. I
asked and took permission. Told him about my project and its importance in completing it. He
always appreciated my studies and hard work. Therefore, he melted and encouraged my efforts to
be part of the health field. So, when again I asked about his medical history, he agreed to provide
all key information. I only used the emotional strategy and motivated him that if he shared his
3 Health assessment
information with me, I would surely find some solution so he could able to walk. Like I convinced
him to do joint replacement and provided examples of patients in the hospital that joint
replacement helped them walk again.
2. Was there any part of the interview that was more challenging? If so, what part and
how did you deal with it?
Common observations and research have revoked that interviewing patients suffering from
long-term disease is sometimes challenging(Hardavella, 2017). There are different cases when it’s
hard to communicate with a patient to get an appropriate answer. During my interview with my
uncle, the time was challenging when he briefed me about his self-medication and his negligence
regarding the treatment. In that case, I have inappropriate words and phrases to ask why he was so
negligent, as he had a history of.
Cody Cambridge created a presentation to convey to people with chronically ill spouses that they can still have happy, fulfilling relationships. When Cody started dating his wife, she became chronically ill with interstitial cystitis. This caused many health problems and made it difficult for her to do activities. Cody discusses things he has learned like being patient when his wife cannot attend events, supporting her by following difficult diets together, and keeping a positive attitude. He hopes his experiences can help others in similar situations have strong relationships.
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
Sample Verbatim Process Recording Clinical Practice with Indi.docxtodd331
Sample Verbatim Process Recording: Clinical Practice with Individuals, Families,
and Small Groups
Verbatim recording should only be used for selected parts of an interview.
Student name: Linda Talbot Date of session: Dec. 1 Number of session: 3
Client Identifying Info: Ms. B. is a 58-year-old West Indian woman. She is the biological
mother of a nine-year-old boy, Kenny, in the Residential Treatment Center.
Reason(s) for referral, presenting problem(s or relevant background information): Kenny
has a history of psychiatric hospitalization and was allegedly abused by his father. He arrived at
our program in September. The agency requires that I see Ms. B. twice a month, however she
only comes monthly and she offers different reasons why she cannot come more frequently.
Focus of this session:
In this excerpt, I'm talking with Ms. B. on the telephone regarding her visits to the Agency. In
the first part of the call, she expressed her disappointment that she came all the way from
Brooklyn (a 2 hour trip) to the agency to see Kenny, but a unit supervisor denied her the right to
see her son because she didn't follow the correct visiting procedure. Then we spoke about her
future visits to Kenny and other agency requirements. I began by telling her that she has to visit
Kenny more frequently and that she has to contact us beforehand.
Selective Verbatim Dialogue/Content Thinking/Feelings and Reactions
Ms. B: I'm a little disappointed because I did
not see my son after making such a long trip.
Worker: I'm really sorry that this happened but
the agency has specific visitation procedures. I
want to remind you that you are not allowed to
walk to the cottage without contacting with my
supervisor or me. You have to call before you
come.
Ms. B: I'm an old lady. I cannot make such a
long trip every week.
Worker: I understand your situation but your
son Kenny needs to see that his mother is
giving him the support that he needs right now.
He needs to see that his family cares about
him.
Ms. B: (sounding very upset) I cannot go to the
agency so many times because I have doctors'
I feel very badly for Ms. B., but I am scared to
hear her anger.
I also feel annoyed with Ms. B. because she
should have called ahead of time. I told her the
rules and hopefully this will solve the problem.
I don’t want to hear how hard it is for Ms. B. I am
upset for Kenny and I want her to understand his
needs.
appointments and I need time for myself too.
Worker: I understand what you're going
through, but my job is to inform you about the
agency requirements.
Ms. B: I cannot visit my son every Sunday
because I have to go to church. God is the only
one that gives me the support I need. I can only
come every other Sunday.
Worker: I understand that God is very
important to you, but right now .
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
This document summarizes the author's experiences with various major health issues over a period of 10 years, including twice having heart operations, his wife's battle with and death from cancer, experiencing depression, having two strokes, and receiving a pacemaker. It provides background on his first heart operation at age 35, his wife's cancer diagnosis and treatment, her subsequent death, his struggles with depression, and receiving additional medical procedures like a second heart operation and pacemaker.
This document describes the story of a young woman who was diagnosed with glandular tuberculosis (TB). She suffered for over two years as various doctors prescribed the same medications without properly examining her case. She was constantly vomiting the medications. Finally, a doctor took the time to carefully observe her case and adjust her dosages, removing one medication, which led to her full recovery within 10 months. The document criticizes how some doctors treated her as a defaulter rather than understanding her unique medical issues, and calls for making TB programs truly patient-centered.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rdrravindrai
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rsandesh138
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities through unconditional acceptance and respect.
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within them and it is important for doctors to invoke that inner healing ability. An example is given of a doctor reassuring a patient and avoiding unnecessary medical interventions or tests.
3. The document continues with examples that illustrate the importance of considering the whole person, including their mental and emotional well-being, social factors, and lifestyle, when providing medical treatment and advice. This holistic approach leads to better health outcomes
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within themselves, and it is the doctor's role to invoke that inner healer. An example is given of a doctor reassuring a patient through confidence and simple treatment instead of tests and procedures.
3. Educational policy affects public health as well as doctors and patients. Factors like expectations, competition, and pharmaceutical influence can pressure doctors to over-treat, but focusing on the whole person is most effective.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rsuhasmhetre
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating physical ailments but also addressing psychological and social factors that impact health and well-being.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rspgondhale
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not just treating physical ailments but also addressing psychological and social factors that impact health and well-being.
1. The document outlines 10 steps for becoming a successful doctor, including accepting, loving, and respecting patients unconditionally; recognizing the healing power within patients; and considering how educational policies impact health.
2. It provides several examples of doctors interacting with patients in different ways - either in a harsh, disrespectful manner or with compassion and understanding.
3. The document emphasizes the importance of not only treating medical conditions but also addressing psychological and social factors that impact health and healing. It encourages invoking patients' innate healing abilities through unconditional acceptance and respect.
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within them and it is important for doctors to invoke that inner healing ability. An example is given of a doctor reassuring a patient and avoiding unnecessary medical interventions or tests.
3. The document continues with examples that illustrate the importance of considering the whole person, including their mental and emotional well-being, social factors, and lifestyle, when providing medical treatment and advice. This holistic approach leads to better health outcomes
Similar to Behavioral Medicine Essay- Patient Interview (20)
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Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Behavioral Medicine Essay- Patient Interview
1. Behavioral Medicine Essay
Topic: Patient Interview
Situation: this was a patient who has to go to hospital every second week for the transfusion.
The patient complaint was swollen, tender and painful knee joint but no injury was recorded
before. One morning, he was running during exercise, the joint started to swell and turned very
painful. The patient visited hospital due to immobility of the leg. He also complained about his
history of unknown bleeding of the gingiva, nose and unknown bruise in his arm and leg. Asking
about if he is worrying about the condition, he added that he is not worried of the bleeding
since he has been having it for a long time, since he was a child. At that time, he was just
worrying about the joint problem. He was suspecting maybe some kind of infection.
Asking about his daily life before joint pain occurred, he mentioned that it was almost
completely normal. Even though there was a lot of moment when he has nose bleeding or
gingiva bleeding but he could manage it well. When he was a child, his parent did take him to
hospital to figure out what was the underlying problem but they could not because at that
time, medical technology was not as good as at the moment. What I could do was giving him
adjuvant which could help him manage the bleeding, and they also recommended him not to
play or work too hard because bleeding may occur then. Asking him if he was feeling sad about
this condition, he confessed that at first he felt a bit lost to everyone that he had to carry the
adjuvant with him most of the time and had to limit his movement. But then he get used to it.
Since the pain occurred, his daily life was a bit problematic. He said that he was only 30 but he
was acting like an old man. He could barely move. He always needed help from his wife and
colleagues from standing to walking and etc… That was a really hard time. During this hard
time, he had received a lot help, especially from his family and he confessed that he felt really
happy because he was a central point to everyone, that made him very heart warming. During
that period of time, he perceived that having a family who always be there for you is important.
It is very precious and it forms the base for everything.
2. Asking about his knowledge for the current the underlying cause of the disease, he said that his
doctor had informed him everything. The underlying cause for this kind of disease is that he is a
genetic disease, which is called Hemophilia. This is a disease that some blood clotting factor and
genetically missing. That why he has been having these unknown bleeding. The reason for the
joint pain was due to the bleeding within the joint space. It made the joint become tender and
swelling. They had performed some procedure to release all the blood in the joint space, so
that he felt pretty good then. That day, he went for medical check-up and received blood
transfusion. Being asked about recovery process, he said that he was very happy. Later on, he
didn’t need any help for mobility .His joint recovered pretty fast even though it was just after
around 2 weeks. He also included that his vulnerable bleeding condition also seems to
terminate since the supplying clotting factors were given. He told me that he really thought he
may have to suffer this condition for the whole life but due to the development of modern
medicine, he felt really thankful for it.
Things should have been normal until I was asking if he is having any child now. He turned out a
bit emotional. He swiped tears from his eye and told me that due to this genetic disease, if he is
having a child, there is a relatively high chance that his child will inherit his condition. It can be
either same or more severe than what he has. He started to tell me his story that he and his
wife have been married for more than 3 years. Now they are planning on having a child. But
since he got the diagnosis, their plan seems to be impossible. He insisted that he just didn’t
want his child to be like him. After hearing what he said, even I was touched. The atmosphere
turned really heavy, he was facing down, thinking for a moment and started to add more; that
he didn’t worry much about having a child, it is not really a huge problem but he was sad
because of his wife and his parent, they were really expecting a child in the house. I was trying
to ease him, because his circumstance was really lamentable. I also advised him some
alternative method for example adoption. I also encouraged him that there were a lot orphans
who really need a family. But then he was keeping silent for a while. Maybe he had some secret
and it was hard to say. I respected that. Then I asked him if his family knew this. He turned to
me, with a really sad face. Still remained silence but then he started talk. He said he was
keeping this as a secret to his family. He was trying really hard to find as much as alternative
3. methods but till then, seems hopeless. When being asked for the reason, he just mentioned
that he doesn’t want to let his family down because he just didn’t want to see them sad.
Knowing the serious of the problem, I gave him a lot of recommendation, but main idea was
about the fact that he should not keep secret to his family, especially his wife, because it may
affect marriage to a certain level. After a series of advices later on then I found out that the
patient was really having a fear of disappointing anyone, especially his family. Because even
though how hard i tried to convince him, his mind remained the same. At this point, I stopped
giving advice but instead, I was trying to feel empathy with the patient. I was helping him to
open his mind more, trying to get to know him what had lead him to this kind of person now
and after several talk, I started to figure out that all because of this condition. Due to his
vulnerable condition, as a kid, in everyone’s eye, he was seemed to be weak and always need
help. He was not even fond of that, instead, he was trying to act strong. He wanted to show
that he can be as healthy as everyone, making sure not to disappointing anyone. I asked him if
he was afraid of failure. He answered with confidence that he was not afraid of it, he was just
afraid of letting someone down, which he felt really guilty about it. He also added failure helps
you grow. After more discussing, I knew that I would never be able to change the way he was,
instead I gave him some information about screening program during pregnancy, which could
really help control the rate of disease appearance. Immediately after hearing this, his mood
changed completely. He was really curious about it, he asked lots of questions about the
screening, and noted down some important points. Even though I had told him everything but
he just kept asking and asking. It made me happy seeing him like that, especially how
enthusiastic he was. He also asked if this disease is curable and obviously I answered but I
avoided to say impossible with some explanations about medical genetics which is not easy at
all and scientist are still working on it. Maybe not our generation but the next one may receive
some kind of cure related to genetic disease. He also said he really hoped it would come out
soon so that not many will suffer his condition.
The interview left me a lot of thought. At first, it was really hard to get a patient’s trust.
Without trust, I would not get that much information from the patient. In this case, the patient
was pretty cooperative and easy going patient. Some points he didn’t want to tell but he
4. mentioned it later on. I was pretty happy that he was honest, which meant that he trusted me
to tell such story. Even though I felt really sorry for him, but look at his eye, his act, I’m pretty
sure he will not give up. He has a very strong will, I really admire it, he inspired me somehow
how to be a man of a family. I really like how he expressed his thought and his feeling, only by
telling such story, it got into my mind easily. Thanks to that, I could empathy him well. Being
with him, even though It was just a short time, I really felt like he was really similar my brother,
who is also a very tough man. Barely anyone can change his mind if he also set his thought.
Also, he never bothers anyone in the family, he just always tries to deal with thing on his own.
There was one thing that I couldn’t really accept to this patient’s perspective that he was hiding
such a big problem to his family, especially his wife. Because family is where we can express
ourselves and it is where we can always seeking for help. Sometimes seeking for help doesn’t
mean weakness at all. Family always understand you even though you let them down, they are
always ready to help anywhere anytime. And second thing, why would you be afraid of
disappointing others. Nobody is perfect at all.
In personal, I did received a lot of great experience from him, not just only about history taking
or examination… but also about how I can get to know my patient well. I was lucky that he was
pretty predicable, but in the future there will be lots of patient which treating their disease
doesn’t meant everything, sometimes you have to treat with their mind as well.