Heaven may assist MR in making better health choices. This attitude is an excellent initiative towards a healthier lifestyle.Addressing critical issues when interacting with the patientAccording to scenario 3, MR has multiple health risks. There is evidence that MR has a family history of hypertension, diabetes, and alcoholism. While at present he remains a current “pot” smoker, alcohol drinker, and a very anxious young man looking for prescriptions against anxiety. Anxiety is one the withdrawal symptoms and therefore, MR may have drug addiction issue. This patient may need a psychiatric consult for better assessment of his drug addiction status. He is also at risk for cardiovascular diseases and lung cancer related to “pot” smoking, hypertension and diabetes-related to family history and alcoholism.Targeted QuestionsHow long has it been since you were last evaluated by a healthcare provider?What symptoms occur when anxiety is bothering you?How long have you been smoking marijuana?Can you tell me more about what is stressing you?How often do you drink alcohol?Have you ever been to a Therapist before?Tell who in your family has hypertension? Diabetes? ReferenceBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2018). Seidel’s Guide to Physical Examination. (8thE.). Elsevier, Mosby. St. Louis, Missouri.Centers for Disease Control and Prevention, (2015). Cultural Competence. Retrieved from Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D.,
Plescia, M., (2014). Leading Causes of Death and All-Cause Mortality in AmericanIndians and Alaska Natives. American Public Health Association. Doi: 10.2105/AJPH.2013.3017.98 Greenfield, B. L., Hallgren, K. A., Venner, K. L., Hagler, K. J., Simmons, J. D., Sheche, J. N., …
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- Diabetes, Native Americans in the United States