Case Study My Approach to Medical Care

Running head: CASE STUDY 2 1
Case Study 2
Name
Professor
Institution
Course
Date
CASE STUDY 2 2
Case Study 2: Mr. P
My Approach to Medical Care
The most important thing concerning the approach is to make sure the patient must express
all of his concerns during the discussion. As such, to make sure that this takes place, I should ask
Mr. P about his concerns about the cardiomyopathy and congestive heart failure. I should give
him time to explain as I listen until the time he will feel confident that all concerns have been
expressed (Hamine, Gerth-Guyette, Faulx, Green, & Ginsburg 2015). As my technique, I should
also urge him to come with a list of concerns about the appointment.
After that I should address all of his concerns for example difficulty in maintaining diet
restrictions and managing his polypharmacy, 4+ pitting edema, moist crackles throughout lung
fields, and labored breathing. It is obvious that it is not possible to respond to all these issues at
once. What I should do is to agree with Mr. P regarding the issue that should be addressed first
and which must be differed for later (Kasper, Fauci, Hauser, Longo, Jameson, & Loscalzo 2015).
If the patient does not understand the symptoms, then it is essential to communicate his
understanding to him rather than my understanding as a medical practitioner.
Recommended Treatment Plan
Recommending treatment plan is two-way traffic for Mr. p and me, which comes about
through effective communication. A treatment plan is a guide which is a legal document that
comes about through effective communication between the patient and me (Hamine et al. 2015).
The first thing in recommending treatment is that I am going to look at his health. He
suffers from cardiomyopathy and congestive heart failure, and he has, 4+ pitting edema, moist
CASE STUDY 2 3
crackles throughout lung fields, and labored breathing. In my treatment focus, I am going to
consider Mr. P intelligence, family resources, capacity for self-control, interest in work self,
talent and skills, positive life experiences and awareness of cultural and social opportunities
(Kasper et al. 2015). In my treatment plan, the first thing that I am going to consider is the origin
of the problem. We see that Mr. P is suffering from cardiomyopathy and congestive heart failure.
The symptoms of the problems are 4+ pitting edema, moist crackles throughout lung fields, and
labored breathing. The effects of the problem are that it makes the wife worried and sad and not
being able to get out of the house, huge medical bills because Mr. P is sick yet not able to take
care of financial issues, and losing hope as we see Mr. P asking God why he has not taken him. I
am then going to keep in action methods of relieving or eliminating the problems medically
(Hamine et al. 2015).
Method for providing both the patient and family with education and explaining my
rationale
Things to put in consideration when it comes to providing information are patient’s age,
education, and literacy level as well as language skills. In this case the patient, Mr. P is 76 years
old, and he is good in English. I should also avoid using medical terminologies like "myocardial
infarction," instead I should replace it with “heart attack.”
The first step in providing education is to review the Admission Assessment for the learning
requirements and determine what the needs of the patient are (Hamine et al. 2015). I will then
individualize teaching which depends on readiness to learn, assessment of the patient and family
needs. I will also teach both Mr. P and the wife;
i. When to take the medications, how to take medications and for how long.
CASE STUDY 2 4
ii. Drug interactions with required food
iii. Medication expected actions and predicted side effects
iv. Action to be taken if they miss a dose
v. The procedure of mixing and medication administrations and medicine storage, expiring
date and disposal.
I will finally educate them on the importance of follow up care. Also, they will learn about
where to go for follow up care, when to get help and the chemist they should get medications or
medical equipment.
Teaching Plan
The first step in teaching plan, I am going to provide Assessment to the patient. I will ask
the patient how he learns best and teaches according to that style (Kasper et al. 2015). I will ask,
“The last time you learned new things, how well did it work?" I will also assure him that he can
do things without practice. I will then let Mr. P do things practically. I will ensure this by giving
him equipment to handle so as the level of his comfort would increase (Hamine et al. 2015). I
will also give him an opportunity to inspect tools he will use at home, for example, the syringe. I
will also have him list what he will need to encourage preplanning. In my teaching, I will also be
an encourager. Finally, I should avoid worrying in the presence of the patient if something goes
wrong. If things go out of hand, I should ask him what he thinks that went wrong so that I will
decide what to do.
CASE STUDY 2 5
References
Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., & Ginsburg, A. S. (2015). Impact of
mHealth chronic disease management on treatment adherence and patient outcomes: a
systematic review. Journal of medical Internet research, 17(2).
Kasper, D., Fauci, A., Hauser, S., Longo, D., Jameson, J., & Loscalzo, J. (2015). Harrison's
principles of internal medicine, 19e.

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