b’Respond xc2xa0to at leastxc2xa0twoxc2xa0of your colleagues who were assigned a different patient than you. Critique your colleaguexc2x92s targeted questions, and explain how the patient might interpret these questions. E’
b”nRespond xc2xa0to at leastxc2xa0twoxc2xa0of your colleagues who were assigned a different patient than you. Critique your colleaguexe2x80x99s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Main Postxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0CASE STUDY 2xc2xa0AG is a 54-year-old Caucasian male who was referred to the clinic to establish carexc2xa0after a recent hospitalization after having a seizure related to alcohol withdrawal. He hasxc2xa0hypertension and a history of alcohol and cocaine abuse. He is homeless and isxc2xa0currently living at a local homeless shelter. He reports that he is out of his amlodipine 10xc2xa0mg which he takes for hypertension. He reports he is abstaining from alcohol andxc2xa0cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore.The Communication TechniquesA nurse practitioner chooses to use the RESPECT Modell to communicate with the patient to stay productive and patient-centered in all her communication with the patient. RESPECTS stand for (Rapport, Empathy, Support, Partnership, Explanation, Cultural Competence, and Trust) (Ball, Dains, Flynn, Solomon, & Stewart, 2019). The nurse practitioner establishes rapport by seeking the patientxe2x80x99s point of view to avoid being judgmental. She asked the question of how the patient wanted to be addressed. The nurse practitioner shows empathy by asking the patient how he becomes homeless to understand how she can help him get his life back in order. The nurse practitioner supports the patient by asking him about his financial situation to direct him to the proper agency. The patient is at risk for cardiac diseases, lung cancer, and stroke, so the nurse practitioner partnered with the patient to help him stop smoking (Ball et al., 2019).The nurse practitioner needs to explain to the patient to know what cigarette smoking does to the body. Nicotine is a sympathomimetic medicine that releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous, and coronary blood vessels, and rapidly increases blood pressure (Benowitz, 2009). It is crucial to present the patient with evidence-based practice to address health risks across cultures, and it is essential to assure the patient that what he said will be kept confidential to establish trust (Ball et al., 2019).The Risk Assessment InstrumentThe CAGE questionnaire is a precise tool that has been used for many years to screen patients for addictive behaviors. The GAGE questions have been modified to apply to smoke behavior.xc2xa0 The CAGE questions are as following: 1) Have you ever felt the necessity to cut down or control your smoking, but had trouble doing so? 2) Do you ever get angry or annoyed with people who criticize your smoking or demanding you quit smoking? 3) Do you feel guilty regarding your smoking or about something you did while smoking? And 4) Do you ever smoke within half an hour of waking up (Eye-opened)? The patient is screen positive to two yes responses. The CAGE instrument is used because it is nonthreatening. A study showed that the CAGE questionnaire was used in a medical outpatient embedded in a self-administered questionnaire regarding health habits. Most of the patients did not know that they were filling out an assessment for addictions. The patient must be willing to stop smoking for treatment to be effective (American Family Physician, 2000).xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Targeted Questions1)xc2xa0xc2xa0xc2xa0xc2xa0 How do you want to be addressed?2)xc2xa0xc2xa0xc2xa0xc2xa0 How are you feeling?3)xc2xa0xc2xa0xc2xa0xc2xa0 How may we help you?4)xc2xa0xc2xa0xc2xa0xc2xa0 How do you become homeless and tell us about your financial situation?5)xc2xa0xc2xa0xc2xa0xc2xa0 Do you need help getting your prescription refill?6)xc2xa0xc2xa0xc2xa0xc2xa0 When was the last time you drink alcohol or use cocaine?7)xc2xa0xc2xa0xc2xa0xc2xa0 When was the last time you check your blood pressure and take your amlodipine medication?8)xc2xa0xc2xa0xc2xa0xc2xa0 When was the last time you had a seizure episode?9)xc2xa0xc2xa0xc2xa0xc2xa0 When do you start smoking and how many packs do you smoke a day?10) How can we help you to stop smoking? xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0ReferencesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Benowitz, N. L. (2009). Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics.xc2xa0Annual review of pharmacology and toxicology,xc2xa049, 57xe2x80x9371. doi:10.1146/annurev.pharmtox.48.113006.094742American Family Physician. (2000). Assessing Nicotine Dependence. Retrieved from https://www.aafp.org/afp/2000/0801/p579.html “
Leave a Reply
Want to join the discussion?Feel free to contribute!