HAS108 Health Assessment

HAS108 Health Assessment

Supplementary Assessment

Introduction

It is the evaluation of the case study of a patient named Theo. Theo is a young man who is around 24 years old and lives in the city of Australia. He lives far away from his family. Theo has been recently hospitalized because of his depression. Here Theo has been working very hard for his living which has resulted in him suffering even more at his young age. In this case study, an accurate evaluation of Theo's case is done with the help of an interview that has been taken by nurses while being administrated in the hospital. seeing the symptoms of depression, he was still aware that it was the result of his overthinking and mental stress which has also resulted in him attempting suicide for the first time at the age of 15. While going for a checkup nurses even found due to their mental trauma had made him more nervous at a time. This evaluation and demonstration of communication strategies which has been used for Theo are shown and their importance has been explained. Numerous discussions are done related to health assessment and its importance of it has been explained. This case study will also help to recognize the person-centered care which is essential for Theo now.

Information needed

Interview techniques that have been used to enhance communication with David

Interview techniques are the most effective method which can be used to know the details of the patient in a short interval of time ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.3238/arztebl.m2021.0014","ISSN":"1866-0452","author":[{"dropping-particle":"","family":"Bischof","given":"Gallus","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Bischof","given":"Anja","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Rumpf","given":"Hans","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Deutsches rzteblatt international","id":"ITEM-1","issue":"7","issued":{"date-parts":[["2021","2","19"]]},"page":"109-115","title":"Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice","type":"article-journal","volume":"118"},"uris":["http://www.mendeley.com/documents/?uuid=d80cb90c-7398-42e1-91e2-a66f0e12bdfc"]}],"mendeley":{"formattedCitation":"(Bischof, Bischof, and Rumpf 2021)","plainTextFormattedCitation":"(Bischof, Bischof, and Rumpf 2021)","previouslyFormattedCitation":"(Bischof et al., 2021)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Bischof, Bischof, and Rumpf 2021). Asking numerous questions regarding the patient health and providing an effective solution for it is considered the interview technique. Here in this case study, the means of the face-to-face interview has been used for Theo to know about his health condition. Communicating with Theo will help him to get the required knowledge about his depression and anxiety. While taking the interview the interviewer needs to know how to communicate effectively without hampering the consent of the patients. Eye-to-eye contact, good gesture, and perfect body position are very essential for treating the patient especially when the patient has been suffering from any traumatic condition ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.3946/kjme.2016.21","ISSN":"2005-727X","author":[{"dropping-particle":"","family":"Berman","given":"Anthony C.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Chutka","given":"Darryl S.","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Korean Journal of Medical Education","id":"ITEM-1","issue":"2","issued":{"date-parts":[["2016","6","1"]]},"page":"243-249","title":"Assessing effective physician-patient communication skills: Are you listening to me, doc?","type":"article-journal","volume":"28"},"uris":["http://www.mendeley.com/documents/?uuid=1cdb4b50-9ffe-4905-b0ed-fa65a55001df"]}],"mendeley":{"formattedCitation":"(Berman and Chutka 2016)","plainTextFormattedCitation":"(Berman and Chutka 2016)","previouslyFormattedCitation":"(Berman & Chutka, 2016)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Berman and Chutka 2016). The interviewer or nurses who aid to take interview started to personally ask questions to patients that t can cause conflict and hamper the relationship between nurses and Theo. The same scenario is applied in Theo's case. Here, Theo has been asked about the experience because of which he had been in trauma which is very important for a care worker to know so that they can be able to provide good and quality care for him. Here, the nurse is conducting interview techniques to develop a good patient-centered approach for him ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1111/hex.12640","ISSN":"13696513","author":[{"dropping-particle":"","family":"Santana","given":"Maria J.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Manalili","given":"Kimberly","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Jolley","given":"Rachel J.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Zelinsky","given":"Sandra","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Quan","given":"Hude","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Lu","given":"Mingshan","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Health Expectations","id":"ITEM-1","issue":"2","issued":{"date-parts":[["2018","4"]]},"page":"429-440","title":"How to practice person-centred care: A conceptual framework","type":"article-journal","volume":"21"},"uris":["http://www.mendeley.com/documents/?uuid=7747e30c-ca77-46db-b065-c6e06b8f7af7"]}],"mendeley":{"formattedCitation":"(Santana et al. 2018)","plainTextFormattedCitation":"(Santana et al. 2018)","previouslyFormattedCitation":"(Santana et al., 2018)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Santana et al. 2018). Numerous strategies that can be used by nurses for Theo while conducting the interview include open and close-end questions. Nurses here are responsible to provide accurate information to Theo about his health condition and making the patient understand the different medical terms which can be hard for him to know. Here, closed-end questions have also been used to assure that the patient is not saying his problems to nurses during his interview period. Similarly, active listening has also been included in this interview so that Theo will know that his words have been listened to carefully and he will be able to build trust with nurses and nurses can also be able to develop a good and safe environment for him in an effective. Overall, asking questions to Theo has been used in most cases so it will help to enhance his communication skills as well as help him to build confidence within himself while talking as well. This interview was taken to know the experience of the young boy the exact rate of his respiration and to identify the other disease that he has been suffering from. In this interview, nurses can ask questions about what he had experienced during his trauma which will help them to identify what exactly had happened to him and they can prescribe the exact medicines noting the sign and symptoms of a young boy ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"author":[{"dropping-particle":"","family":"Brazier","given":"Yvette","non-dropping-particle":"","parse-names":false,"suffix":""}],"id":"ITEM-1","issued":{"date-parts":[["2020"]]},"title":"Everything you need to know about phobias","type":"report"},"uris":["http://www.mendeley.com/documents/?uuid=45725f90-c477-45ec-bf9d-22936aa82aad"]}],"mendeley":{"formattedCitation":"(Brazier 2020)","plainTextFormattedCitation":"(Brazier 2020)","previouslyFormattedCitation":"(Brazier, 2020)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Brazier 2020). All of this plays an important role in providing him good communication support and maintaining his behavior effectively. Talking two ways will help the young boy to fully describe the phases which he had experienced. By taking interviews directly nurses will also get a chance to find out the exact reason Theo attempted suicide in small age.

Ways to incorporate teaching as a part of health assessment

Health assessment here a major role in obtaining Theo's history. Here nurses will be planning a specific health assessment technique and performing a physical assessment which will help nurses to identify what exactly had happened to Theo in those past years. To gain more information about Theo regarding his past nurse should first go through all his health reports of Theo one by one and should be able to distinguish what exactly had happened to him in past years. After viewing the reports nurse should be able to provide the best way or techniques to make the patient feel comfortable in the first place and then should carry out other procedures to treat the patientADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.3390/nursrep11030057","ISSN":"2039-4403","abstract":"One hundred twenty-six assessment skills are taught in prelicensure nursing health assessment courses, yet 30 skills are used on a routine basis in practice. New nurses struggle to apply their acquired knowledge in clinical settings. Method: A literature review was completed. Based on the results, a first semester health assessment course in a southeastern accelerated baccalaureate nursing program was redesigned. Lectures and skills labs were adjusted to focus on the most critical assessment skills. To foster critical thinking and clinical judgement, a health assessment post conference was added where students completed concept maps, system specific case studies, nursing priority setting, and patient teaching plans. Results: Outcome surveys were completed by second semester faculty. Prior to course adjustments, 33 percent of students did not meet the benchmark. Following course changes, all students met or exceeded the benchmark. Conclusion: Focusing on critical assessment skills will increase student nurses ability to deliver safe patient care.","author":[{"dropping-particle":"","family":"Kinyon","given":"Kathryn","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"DAlton","given":"Shannon","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Poston","given":"Kristen","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Navarrete","given":"Sarah","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Nursing Reports","id":"ITEM-1","issue":"3","issued":{"date-parts":[["2021","8","2"]]},"page":"600-607","title":"Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course","type":"article-journal","volume":"11"},"uris":["http://www.mendeley.com/documents/?uuid=4b90ddf4-82a6-4fe2-959a-4393b2380092"]}],"mendeley":{"formattedCitation":"(Kinyon et al. 2021)","plainTextFormattedCitation":"(Kinyon et al. 2021)","previouslyFormattedCitation":"(Kinyon et al., 2021)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Kinyon et al. 2021). Nurses can also develop certain health assessment techniques like providing good information to Theo about his illness and anxiety, providing a comfortable environment for him, and checking his heartbeat constantly is necessary for this scenario ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1016/j.ijnurstu.2019.103490","ISSN":"00207489","author":[{"dropping-particle":"","family":"Hartley","given":"Samantha","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Raphael","given":"Jessica","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Lovell","given":"Karina","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Berry","given":"Katherine","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"International Journal of Nursing Studies","id":"ITEM-1","issued":{"date-parts":[["2020","2"]]},"page":"103490","title":"Effective nursepatient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance","type":"article-journal","volume":"102"},"uris":["http://www.mendeley.com/documents/?uuid=e5a40dfd-f657-44d0-902e-d150a484e227"]}],"mendeley":{"formattedCitation":"(Hartley et al. 2020)","plainTextFormattedCitation":"(Hartley et al. 2020)","previouslyFormattedCitation":"(Hartley et al., 2020)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Hartley et al. 2020). Consent should also be taken from the patient to provide him with person-centered care which will help him to get good treatment effects. All this health assessment is important to carry out by a nurse in such a way that Theo should not feel awkward while getting treatment.

Abnormalities identified

Seeing his history, it was clear that due to stress and because of the bad experiences in his childhood he has been suffering from depression which had made him do suicide as well ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.5772/intechopen.99425","author":[{"dropping-particle":"","family":"Misra","given":"Nishi","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Srivastava","given":"Shobhna","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Suicide","id":"ITEM-1","issued":{"date-parts":[["2021","11","24"]]},"publisher":"IntechOpen","title":"The Fallacy of Happiness: A Psychological Investigation of Suicide among Successful People","type":"chapter"},"uris":["http://www.mendeley.com/documents/?uuid=3d456ec8-be4c-4332-bbc4-d5a0906760ed"]}],"mendeley":{"formattedCitation":"(Misra and Srivastava 2021)","plainTextFormattedCitation":"(Misra and Srivastava 2021)","previouslyFormattedCitation":"(Misra & Srivastava, 2021)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Misra and Srivastava 2021). Before some years he had also been diagnosed with difficulty in respiration. It is a type of respiratory disease where the person is not able to take enough oxygen in the morning oxygen which is essential for it to work properly. In Theo's case, he has been suffering from this disease for the past few years due to trying to do suicide. Investing his history nurses found that due to hanging he might have got trouble breathing because of the effect on his respiratory tract. This disease even had made adverse effects on their health as well because of which he had been suffering from hypertension. His respiration rate was also very low which made him feel short and breathless during administration in the hospital. Seeing his medical report, it was clear that he had been even seriously suffering from depression. Observing his reactions and actions it was found out that due to traumatic past stress and living alone in the home he might have felled lonely which made him suffer from depression ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1056/NEJMcp1712493","ISSN":"0028-4793","author":[{"dropping-particle":"","family":"Park","given":"Lawrence T.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Zarate","given":"Carlos A.","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"New England Journal of Medicine","editor":[{"dropping-particle":"","family":"Solomon","given":"Caren G.","non-dropping-particle":"","parse-names":false,"suffix":""}],"id":"ITEM-1","issue":"6","issued":{"date-parts":[["2019","2","7"]]},"page":"559-568","title":"Depression in the Primary Care Setting","type":"article-journal","volume":"380"},"uris":["http://www.mendeley.com/documents/?uuid=d56d6c44-67a1-4c8a-8d93-0e86160235db"]}],"mendeley":{"formattedCitation":"(Park and Zarate 2019)","plainTextFormattedCitation":"(Park and Zarate 2019)","previouslyFormattedCitation":"(Park & Zarate, 2019)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Park and Zarate 2019).While going through the report nurses found out that his mental condition was also not good, and he had affected his central nervous system as well.

Due to the impact on his CNS, he was not able to move and was facing mobility problems as well. Although his CNS was found good enough, she was not able to talk and was staring continuously only at one thing which demonstrated a defect in his mental health.

Physical assessment needed

Physical assessment is the type of assessment which are used by nurses to provide help to the patient who is unable to take good care of themselves on their own ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"author":[{"dropping-particle":"","family":"Ajibade","given":"Benjamin","non-dropping-particle":"","parse-names":false,"suffix":""}],"id":"ITEM-1","issued":{"date-parts":[["2021"]]},"title":"Assessing the patient's needs and planning effective care","type":"report"},"uris":["http://www.mendeley.com/documents/?uuid=ba83ee61-0b28-454d-8eea-dec5f4c81581"]}],"mendeley":{"formattedCitation":"(Ajibade 2021)","plainTextFormattedCitation":"(Ajibade 2021)","previouslyFormattedCitation":"(Ajibade, 2021)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Ajibade 2021). This assessment is carried out by nurses on those patients who had mobility problems and who are not able to work and do things on their own. This assessment also focuses on providing good breathing techniques to a patient who had a breathing problem. In this case, providing Theo with a good physical assessment can be fruitful in developing his health condition. Providing good respiratory devices and instruments to check his vitals can be effective for him. Nurses here should apply all the required physical assessments as compared to other assessment tools. Physical assessment here not only helps in the improvement of the health of the patient, but it also gives general knowledge on focusing on the exact area which needs treatment ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1155/2021/5524676","ISSN":"2314-6141","abstract":"Background. In the intensive care units, patients need special consideration and monitor frequently with appropriate physical assessment skills. Nurses working in the intensive care units play a fundamental role in detecting patients at risk of deterioration through ongoing assessment and action in response to changing health status. Most of the nursing activities were poorly assessed in low-income countries including Ethiopia. Therefore, this study was aimed to assess the nurses practice and barriers to physical assessment among critically ill patients in Northwest Ethiopia. Methods. An institution-based multicenter cross-sectional study was conducted at Amhara regional state referral hospitals from March to September 2019. A total of 299 nurses working in the intensive care units were recruited through the convenience sampling method. A 30-item physical assessment practice and 36-item barriers to nurses use of the physical assessment scale inventory were used. The linear regression analysis model was fitted, and the adjusted unstandardized beta () coefficient with a 95% confidence interval was used. A p value < 0.05 was considered statistically significant. Results. The mean score of the nurses practice towards physical assessment among critically ill patients was 101.26 24.99 . Greater perceived reliance on others and technology ( = 0.78 , 95% CI (-1.07, -0.48)), ward culture ( = 0.48 , 95% CI (-0.85, -0.11)), specialty area ( = 1.46 , 95% CI (-2.01, -0.90)), lack of nursing role model ( = 0.54 , 95% CI (-1.06, -0.02)), being unmarried ( = 6.10 , 95% CI (1.75, 10.46)), taken training ( = 11.53 , 95% CI (6.34, 16.72)), and knowledge score ( = 2.81 , 95% CI (2.00, 3.63)) were the factors significantly associated with the nurses practice score towards physical assessment. Reliance on others and technology towards physical assessment practice was the most important barrier followed by ward culture and specialty area. Conclusion. Nurses working in the intensive care units had a good practice towards physical assessment among critically ill patients. Hence, to increase the practice towards physical assessment in intensive care settings, especially for married nurses, experienced critical care nurses, and specialist professionals, practice support training, modifying ward environment, and educational support care are recommended.","author":[{"dropping-particle":"","family":"Liyew","given":"Bikis","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Tilahun","given":"Ambaye Dejen","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Kassew","given":"Tilahun","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"BioMed Research International","editor":[{"dropping-particle":"","family":"Chiew","given":"Yeong Shiong","non-dropping-particle":"","parse-names":false,"suffix":""}],"id":"ITEM-1","issued":{"date-parts":[["2021","7","14"]]},"page":"1-12","title":"Practices and Barriers towards Physical Assessment among Nurses Working in Intensive Care Units: Multicenter Cross-Sectional Study","type":"article-journal","volume":"2021"},"uris":["http://www.mendeley.com/documents/?uuid=35d94429-aac8-415b-a807-ba8dd906fca6"]}],"mendeley":{"formattedCitation":"(Liyew, Tilahun, and Kassew 2021)","plainTextFormattedCitation":"(Liyew, Tilahun, and Kassew 2021)","previouslyFormattedCitation":"(Liyew et al., 2021)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Liyew, Tilahun, and Kassew 2021). Here observing the case of Theo nurses can use physical assessment like a cardiac monitor and can use a portable suction unit whenever Theo is feeling short and breathless. This monitor will help nurses to find out when he is suffering from short breathless, and they can be able to give him a suction pipe immediately. Similarly, for his increased mental condition nurse can provide a good person-centered approach where they can give him a peaceful environment so that the young boy will be able to open up and share his problems with nurses. Also, nurses can provide good playing space for him such as a ground to play outdoor games like football or volleyball which will help him to get distracted and involved in new things. Nurses can also check the physical condition of the patient and can provide him with a plan for doing exercise ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1016/j.aorn.2016.12.018","ISSN":"0001-2092","author":[{"dropping-particle":"","family":"Ross","given":"Alyson","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Bevans","given":"Margaret","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Brooks","given":"Alyssa T.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Gibbons","given":"Susanne","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Wallen","given":"Gwenyth R.","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"AORN Journal","id":"ITEM-1","issue":"3","issued":{"date-parts":[["2017","3","27"]]},"page":"267-275","title":"Nurses and HealthPromoting Behaviors: Knowledge May Not Translate Into SelfCare","type":"article-journal","volume":"105"},"uris":["http://www.mendeley.com/documents/?uuid=5241a6b3-19b3-42b5-8668-db8b126449a3"]}],"mendeley":{"formattedCitation":"(Ross et al. 2017)","plainTextFormattedCitation":"(Ross et al. 2017)","previouslyFormattedCitation":"(Ross et al., 2017)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Ross et al. 2017). Besides, these nurses can develop patient health questionnaires where they can ask patients what had happened to them in past in such a way that they do not feel awkward when describing or remembering those scenarios. They can also conduct mental status examinations for Theo which will help him to get rid of his trauma ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.1002/wps.20482","ISSN":"17238617","author":[{"dropping-particle":"","family":"Kilbourne","given":"Amy M.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Beck","given":"Kathryn","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Rublee","given":"Brigitta","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Ramanuj","given":"Parashar","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"O'Brien","given":"Robert W.","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Tomoyasu","given":"Naomi","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Pincus","given":"Harold Alan","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"World Psychiatry","id":"ITEM-1","issue":"1","issued":{"date-parts":[["2018","2"]]},"page":"30-38","title":"Measuring and improving the quality of mental health care: a global perspective","type":"article-journal","volume":"17"},"uris":["http://www.mendeley.com/documents/?uuid=9bbe5658-9e17-4f73-b3fc-b8853b6fa6e3"]}],"mendeley":{"formattedCitation":"(Kilbourne et al. 2018)","plainTextFormattedCitation":"(Kilbourne et al. 2018)","previouslyFormattedCitation":"(Kilbourne et al., 2018)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Kilbourne et al. 2018). Also, basic medication tools can be provided to him for doing mediation which can help him to get focused on good things and he will try to forget those bad incidents which had happened in his life as bad nightmares. Physical assessment is very important for Theo because it is the only way by which he can be able to get good therapy treatment and can be able to know what is right and what is wrong for him as well ADDIN CSL_CITATION {"citationItems":[{"id":"ITEM-1","itemData":{"DOI":"10.7759/cureus.1212","ISSN":"2168-8184","author":[{"dropping-particle":"","family":"Asif","given":"Talal","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Mohiuddin","given":"Amena","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Hasan","given":"Badar","non-dropping-particle":"","parse-names":false,"suffix":""},{"dropping-particle":"","family":"Pauly","given":"Rebecca R","non-dropping-particle":"","parse-names":false,"suffix":""}],"container-title":"Cureus","id":"ITEM-1","issue":"5","issued":{"date-parts":[["2017","5","2"]]},"page":"1212","title":"Importance Of Thorough Physical Examination: A Lost Art","type":"article-journal","volume":"9"},"uris":["http://www.mendeley.com/documents/?uuid=26f46c4f-445d-4382-aa41-c4e0bad0ebe0"]}],"mendeley":{"formattedCitation":"(Asif et al. 2017)","plainTextFormattedCitation":"(Asif et al. 2017)","previouslyFormattedCitation":"(Asif et al., 2017)"},"properties":{"noteIndex":0},"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"}(Asif et al. 2017). Not only, but he will also be able to concentrate on this further study as well.

Conclusion

Observing all his records and analyzing his signs and symptoms it was clear that Theo is in high need of taking a physical assessment. Physical assessment can be useful for Theo because of his sign and symptoms. Although therapies and other medicines are necessary physical assessment helps him in developing positive thinking which is considered an important aspect in this case study. With the help of good seedsmen techniques, he can be able to control his anger and anxiety. He will also be able to breathe properly. This case study has dealt with many aspects of the patient who has been suffering from numerous diseases at the same time and had also described the physical assessment which is most important for the patient to have a good mental health condition. Here, every nurse should also be able to provide all the basic facilities which are essential for Theo to make him feel comfortable. During the interval of revising his medical information, it was clear that he had more stress regarding his work so as a nurse, one has to explain to him to do work according to his will.

References

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Bischof, Gallus, Anja Bischof, and Hans Rumpf. 2021. Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice. Deutsches rzteblatt International 118(7):10915. doi: 10.3238/arztebl.m2021.0014.

Brazier, Yvette. 2020. Everything You Need to Know about Phobias.

Hartley, Samantha, Jessica Raphael, Karina Lovell, and Katherine Berry. 2020. Effective NursePatient Relationships in Mental Health Care: A Systematic Review of Interventions to Improve the Therapeutic Alliance. International Journal of Nursing Studies 102:103490. doi: 10.1016/j.ijnurstu.2019.103490.

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