clarify the patients’ story, create a shared understanding of the patients concern, and finally negotiating a plan (Ball, Dains, Flynn, and Solomon, 2015). The psychosocial history can help identify factors that can influence the patients' overall health or behaviors, such as; health beliefs, nutritional patterns, activity/exercise patterns, recreational patterns, sleep/rest patterns, personal habits, occupational and environmental risk factors, socioeconomic status, developmental level, roles and relationships, self-concept, religious and cultural inﬂuences, supports, sexuality patterns, and finally, the emotional health status that create risk factors (Sullivan, 2012, p 22). Having this information will give one a picture of a patient’s health promotion and preventive patterns. Lifestyle Patient admits to illegal drugs and consuming alcohol therefore he has social problems. Consuming alcohol constitute risk factors for developing certain medical conditions or complications, such as higher risk of heart disease, liver disease, circulatory problems, peptic ulcers, various forms of cancer, and irreversible brain damage (Sullivan, 2012, p. 42). Alcohol metabolism rate may be more rapid in Native American's than in Caucasians but this finding is controversial (Thomas et. al., 2011). Less tolerance for alcohol is exhibited (Thomas et. al., 2011). When discussing alcohol consumption Sullivan (2012) suggested avoiding ambiguous terms such as social drinker. Typically any illegal substance is considered drug use and needs to be included in the problem list, assessment, and plan. (Sullivan, 2012, p. 22). His BMI is 32.6 and his family history is positive for diabetes, hypertension, and alcoholism. He reports anxiety and is pacing and fidgeting in the room but appears in no acute distress. Socioeconomic
Socioeconomic status is related to almost all health outcomes. In the United States, people with less education have worse health outcomes (Richardson, Allen, Xiao, and Vallone, 2012). A common example to be used is that obesity is a condition more common among those of lower socioeconomic status (Richardson, Allen, Xiao, and Vallone, 2012). Lower status is
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- Summer '15
- Evaluation methods, initial discussion post, annual physical exam