My client Miles Meredith filled out the PAR-Q, AHA/ACSM pre-participation screening questionnaire, HPLP II, SF-12, FTS medical history, readiness to change questionnaire, self-efficacy questionnaire, decisional balance score, and sign the Informed Consent Form. My client listed a past shoulder surgery on the PAR-Q and medical history, but aside from that no other noted health complications. He scored a PCS of 54.2 and a MCS of 56 in the SF-12. On the HPLP II he had an average score of 2.63. His highest category was stress management and his lowest were health responsibility and interpersonal relationship.
Upon analysis of my client’s personal health profile and disease risk profile my client demonstrates he is ready to change, and is cleared
3. The patient had informed this writer initially of his goals of wanting to return back to the Hartford Dispensary due to the length of time he has been with the clinic and his positive rapport with his prior counselor at the other facility. The patient was compliant with his individual sessions with this writer and provided cancellation if unable to attend the session in the meantime while he awaits on the process of completion with his intake at Hartford Dispensary.
Patient's decision-making is influenced by several factors. Patients may change their decisions, from accepting or refusing treatment depending on the available treatment options. The capacity of the individual to make informed medical decisions can differ as the patient's status changes cognitively, emotionally, and/or physically and as the proposed treatment interventions change. Treatment refusal is a common situation faced by clinicians. Patients do not usually refuse the medical advice if the advice is of good intention. When patients refuse an advice, it indicates some underlying reasons related to the patients or family, factors associated with the physician as well as social and organizational issues.
Client has had one year of mental health treatment while he was being treated in the VA rehab hospital for his injuries. He did not have a diagnosis of PTSD during this mental health treatment.
We understand that each of our clients may require a different method to treat their individual condition. That's
The client wants to see that you believe in their recovery just as much as they do.
The move would make it easier to provide a better judgment on the needs assessment, therefore making it simpler to establish a treatment plan for the patient in question. The primary barrier experienced when completing the needs assessment tool is the inability of the interviewee to outline
compliance generates significant extra incomes for practices. To allow improvement the patients have to be willing as well. If the patient is not willing to treat their chronic disease it can and will turn terminal. The goal is to get patients to see that it is a good thing to treat and cure their disease and not allow it to turn terminal and improve the best practice for care of long term illness. With long
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Personal/Social History: The patient reports receiving her high school diploma and worked in the fast food industry as a cashier until her back injury and subsequently filing for disability.
How benefits and/or challenges affect patient
The significance of this study is to determine if a preadmission clinic process can be developed and
Engagement and rapport building. The client is motivated for change and has a support system that will support him. I think in order to engage Terry, a good practice would be to empower him. He is used to taking high responsibilities and orders from others and following through. However when it comes to something that he sets for himself and no one else, he tends to not follow through. I think the goals to treatment should be mutual between the client and myself and the objectives clearly defined. Having someone that is going to follow through with Terry is something that I feel is important. I feel as part of rapport building with Terry, it is important for myself to let him know I am going to be there to guide him through the process so that it won 't become overwhelming. He should also be reassured that setbacks do not mean failure. Due to his history of setbacks, Terry has previously been known to not follow through with treatments, I feel it is because he has lost the accountable person to assist and empower him to no get off track.
When addressing patient obstacles usually, problems arise when the patient “demonstrates noncompliant behaviors, such as missing appointments or failing to make healthy lifestyle changes such as quitting smoking or losing weight” (Hyden, 2011). This is difficult because if people do not want to take an active role in their care, then patient centered care will be compromised. “Evidence demonstrates that patients who are involved in their care decisions and management have better outcomes, lower costs, and higher functional status than those who are not so involved” (Grenier and Knebel,
has been shown to have a positive impact on patient outcomes. This model is one that can be
The first stage of this framework is coming to know the client, which requires the nurse to understand that the personal meaning of health and healing is individualized and the context of this area is highly subjective. Gillespie and Paterson (2009) state that “clinical decision-making processes are triggered by recognition of a cue from a patient” (p. 167). In the case of this patient, the decision was based off a cue; a change