Week2 DQ 1 respond 1-2.docx - Week2 Case 1 JC an at-risk 86-year-old Asian male is physically and financially dependent on his daughter a single mother

Week2 DQ 1 respond 1-2.docx - Week2 Case 1 JC an at-risk...

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Week2 Case 1 JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter." Explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. As clinicians, it is essential for us to be aware of our personal feelings about the many different types of patients that you will be working with. According to Ball, Dains, Flynn, Solomon and Stewart 2015, it is vital for clinicians to be culturally competent health care providers and should be sensitive towards patient’s heritage, sexual orientation, socioeconomic situation, ethnicity and cultural background (Ball, Dains, Flynn, Solomon & Stewart, 2015, p.22). Therefore, as clinicians, we must be aware of our attitudes, beliefs, biases, and behaviors that may influence the way we provide care for our patients. Keeping in mind that the primary goal is to develop a partnership type relationship with your patient, which will help the provider to better understand the nature of the patient relationship within the family. In case 1, the patient might feel a great sense of guilt because he is physically and financially dependent on his daughter, who herself has some financial hardship and difficulties. Since the patient felt comfortable to speak about not wanting to be a burden on his daughter, it is essential for the clinicians to explore further and discussed with the patient what he meant when he made the statement that “he does not want to be a burden on his daughter.” It is vital to explore this patient socioeconomic situation because it is a possibility that he may not seek additional medical attention because of his concern. The fact that he feels hopeless might prevent the patient from seeing another healthcare specialist for his chronic prostatitis. The clinician can offer the patient is information on other resources that might be available. According to Dains, Baumann and Scheibel 2016, suggested that there are “additional resources that practitioner can offer to their patients in times of need, such as the affordable care act (act) which is available to provide additional annual wellness visits. Additional resources include individually geared towards this patient personal and family health needs, evaluation of current providers and medications, physical, cognitive and review of schedule screenings” (Dains, Baumann & Scheibel, 2016, p. 9). Offering additional resources such as social service assistance for coordination of care. For example, the patient and his daughter may not be aware that he is eligibility for community resources, such as financial assistance with any a copays, food services, and free in-home provider care.
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  • Fall '18
  • Health care provider, Dains

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