Scenario 1
B is a 28-year-old African American patient comes into the clinic today. He has been deemed a “frequent flyer” by the staff at the clinic and was at the clinic last week and 4 days ago with a migraine, given a shot of Toradol and Ativan and sent home. He is here today again for an extreme headache. He is very agitated today. He is here with his father and worried that he will not get any medication.
Write 1 page explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with this patient. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Scenario 2
P is a 26-year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today.
What are the specific socioeconomic, spiritual, lifestyle, cultural factors associated with this patient. Explain the issues that you would need to be sensitive to when interacting with this patient, and why. (2 paragraphs)
Scenario 3
Mono Nu, a 44-year-old Filipino patient comes to the clinic today to have his “blood thinner” labs drawn since he started them two weeks ago. Upon assessing the labs, the nurse practitioner notes that he is still out of range. When assessing the patient’s compliance both stated that he had been taking them just as prescribed. He has been doing well and eating a diet rich in fish and tofu. He doesn’t understand why his medications are not working.
What are the specific socioeconomic, spiritual, lifestyle, cultural factors associated with this patient. Explain the issues that you would need to be sensitive to when interacting with this patient, and why. (2 paragraphs)
