EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Presentation Individuals wish to carry on with an important life even while experiencing emotional well-being issues. Adam Clifford, a clinical medical caretaker master at Nottinghamshire Healthcare, composed Using Video Technology to Manage Mental Health for Learning Disability Practice, he expresses that 40% of the populace has extra psychological well-being issues. Larger part of this 40% is humiliated or awkward in getting to emotional wellness care (2014). In A Rural Youth Consumer Perspective of Technology to Enhance Face-to-Face Mental Health Services from Journal Of Child and Family Studies composed by Simone Orlowski who is partnered with Flinders Human Behavior and Health Research Unit at Flinders University, clarifies that emotional well-being treatment that is pointed towards uneasiness and sorrow depends on four principle capacities; data arrangement, screening, appraisal, and checking (Lawn, S., Antezana, G., Venning, A., Winsall, M., Bidargaddi, N., and Matthews, B. 2016). Actualizing innovation in medicinal services administrations can offer points of interest and impediments for individuals with emotional wellness issues. Innovation will decidedly affect emotional wellness care administrations, by making it increasingly available for individuals with constrained money related adaptability and transportation, youthful grown-ups with psychological sicknesses will feel progressively good looking for assistance or exhortation, and it will give a superior and progressively precise experience for both the patient and expert. Restricted budgetary adaptability and accessibility of vehicle: Emotional well-being care backing is a crucial guide which isn't available to certain individuals in view of money related expenses and transportation needs. The guarantee and the truth: a psychological well-being workforce viewpoint on innovation upgraded youth emotional well-being administration conveyance, an article composed by Simone Orlowski from BMC Health Services Research, states thattechnology will make emotional wellness benefits progressively available for youthful grown-ups who have constrained money related adaptability or don't have methods for vehicle (2016). The blend of constrained monetary and transportation help gives confined open doors for emotional wellness care administrations not situated at home. Late advancements from utilizing on the web assets and portable advances to help emotional wellness care has indicated improvement for individuals with confined budgetary and transportation support. Turvey, C. L, Head of the Department of Psychiatry at Carver College of Medicine composed Recent advancements in the utilization of online assets and portable innovations to help psychological well-being care for the International Review Of Psychiatry, he proposes house based wellbeing related versatile applications and online electronic emotional well-being issues as answers for individuals who have constrained transportation and financials (Roberts, L. J. 2015). Youthful grown-ups feel awkward looking for assistance or guidance: 20% of youthful Australians between the ages of fifteen to nineteen experience the ill effects of the indications of psychological instability and 60% of those youngsters are awkward looking for assistance or guidance for their dysfunctional behavior (Orlowski. S, 2016). A Rural Youth Consumer Perspective of Technology to Enhance Face-to-Face Mental Health Services composed by Sharon Lawn, the chief of the Flinders Human Behavior and Health Research Unit at Flinders University, communicates that the expansion in level of adolescents who feel awkward requesting help diminishes commitment for youth towards psychological well-being administrations, innovation can expand commitment by utilizing comparable techniques utilized in high schooler's everyday life (Journal Of Child and Family Studies. Orlowski, S., Antezana, G., Venning, A., Winsall, M., Bidargaddi, N., and Matthews, B. 2016). Youthful grown-ups continually utilize their cellphones and consistently have them close by, Turvey from The International Review of Psychiatry expresses the recommendation given for portable applications in emotional well-being depends on the perfect that they will consistently be with the patient. In the event that the cell phone with the application is with them all the time it can help advance their clinical objectives for instance an individual with a perpetual insane issue would get a warning at medicine time. Gentle to direct sorrow and tension can be treated through another strategy for independently directed or expert encouraged treatments that are conveyed by means of web. Finally, the part that would advance most to youthful grown-ups is that patients can utilize these applications and projects in private without any communications with experts (Turvey, C. L., Roberts, L. J. 2015). Better understanding for patient and the expert Executing innovation can improve the experience for both the patient and expert. Innovation can give a progressively precise treatment without totally supplanting eye to eye associations. It tends to be actualized through prescient examination, expanded shopper input, self-administration, and comprehensive partner correspondence, these explanations behind executing innovation into emotional well-being administrations are under inquired about (Orlowski, S., Lawn, S., Antezana, G., Venning, A., Winsall, M., Bidargaddi, N., and Matthews, B. 2016). Extra tactile observation an article from Scientific American composed by Gershon Dublon, a Ph.D. understudy at the M.I.T. media lab and Joseph A. Paradiso, a partner educator of media expressions and sciences at the Media Lab from the boost parcel helps sort out how innovation will enable emotional well-being to mind administrations. Various sensors portrayed by Dublon and Paradiso will change how agreeable patients feel in a situation or how experts can give the patient a superior encounter. Temperature sensors can decide the temperature and relative stickiness in the room as measure by thick sensor organize. Sound sensors will enable a patient to perceive the development and sound in a room, so it tends to be changed in accordance with their inclination. Generally speaking, the temperature and sound sensors will give the expert and patient better control of the earth. The information gathered by these sensors can be utilized as references later on to encounter information from the past in numerous points of view. Guarav Singh, leader of the branch of psychiatry at the Medical College Hospital and Research Center in Uttar Pradesh, India, composed Use of Mobile Phone Technology to Improve follow-up at a Community Mental Health Clinic: A Randomized Control Trial distributed by Indian Journal of Psychological Medicine, in this article he produces the way that missed arrangements are regular in outpatient care for emotional well-being care administrations. Indeed, even with the need of further treatment 16-60% won't catch up with their arrangements. The proposed technique for improving follow up in outpatient care is through short message administration (SMS) and voice calls by means of phone. Counter-contention The emotional well-being workforce fears that innovation will negatively affect their administrations accepts that it will reveal security and privacy from issues inside the innovation programs (Orlowski, S., Lawn, S., Antezana, G., Venning, A., Winsall, M., Bidargaddi, N., and Matthews, B. 2016). Innovation is accepted to expand the outstanding task at hand for experts and maintain separation from up close and personal treatment. Identifying with vis-à-vis treatment, in The Historian as Participant from The Historian and the World of the Twentieth Century composed by Arthur Schlesinger Jr. was an American antiquarian, social pundit, and open scholarly, onlooker history is viewed as important for students of history. In this circumstance onlooker history and up close and personal treatment hold an association in the significance of how observers can all the more precisely distinguish basic factors during the time spent these occasions. Onlooker history holds an alternate point of view to history, it demonstrates the manner in which individuals think and feel. When actualizing innovation into psychological well-being care benefits and diminishing the measure of vis-à-vis contact, the contribution of feelings given by the expert is disposed of. Arrangement The execution of innovation can be drawn closer from various points, for example, usage programs for psychological well-being care administrations. Simone Orlowski states that most innovation arrangements incorporate emotional well-being self improvement programs which are progressively free for the member. Psychological Behavioral Therapy intercessions (iCBT's) which treats mellow to direct emotional wellness issues, for example, wretchedness and uneasiness or portable applications for self-administration and self-treatment which will help limit cooperations with wellbeing experts to little or none. Individuals with increasingly serious instances of mental issues will battle with self improvement programs and should counsel with experts. Telepscychiatry which is intended for progressively serious cases that would require contribution from experts by means of video meetings. Telepscychiatry can permit patients with constrained money related capacities and restricted innovation accessibility to get treatment moderate to them (Lawn, S., Matthews, B., Venning, A., Wyld, K., Jones, G., and … Bidargaddi, N. 2016). Individuals in projects like Telepscychiatry are restricted to the assortment of emotional wellness experts accessible for up close and personal treatment. Versatile applications are one of the previously mentioned answers for psychological wellness care administrations. The capacities upheld by portable applications, online wellbeing projects, or individual wellbeing records cover in data and capacities. The three mechanical projects give standard psychological wellness scales or electronic messages suggestions to advance wellbeing conduct. Versatile applications are the favored program which offer capacities, for example, directed instructive substance, organized psychological wellness evaluations, indication or conduct logs, and setting detecting or inconspicuous checking (Turvey, C. L., and Roberts, L. J. 2015). End Innovation will improve emotional well-being care administrations for youthful grown-ups who feel awkward looking for assistance, individuals with obliged budgetary and moving utilities, and it will improve the course of treatment for both patient and professional.The psychological wellness workforce is against the usage of innovation>GET ANSWER