Motivational Interviewing Scenario Francisco is a 72-year old Latino male with type-2 diabetes who lives independently and is retired. He is married to Margarita who is a pre-diabetic patient. The couple has two adult children who live in another state. Francisco has had recent difficulty monitoring his health and diabetes routine, including his medication management. He recently visited his nurse practitioner, and she told him his Hemoglobin A1C level has increased from 7.0mg/dl to 9.0mg/dl. He reports a lack of energy, increased fluid intake, and more frequent urination. The nurse practitioner advises Francisco to frequently check his blood pressure at home, eat more low-fat foods, and increase his physical activity. Francisco voiced concerns about his ability to maintain and follow these recommendations and asked for a referral to speak to a counselor, therapist, or social worker who could help motivate him to maintain his diabetes better. During the intake interview with the social worker, Francisco voiced ambivalence regarding changing his behaviors, using statements such as, "I know I need to change and I want to change, but it's so difficult to take that first step," and "I am already so old, why do I need to change?" Initial Posting For this discussion's initial post, using the OARS method, provide examples of the following statements in the conversation you would have with Francisco: Open-ended questions. Affirmations. Reflective listening. Summarizing.
Answer: Open questions: The directly asked questions whose answer can be in brief such as yes or no. The conversation with Francisco includes:
Example:
2. Affirmation: This identify the nature, strengths that may lead to positive change.
Example:
3. Reflective listening: Speaker not always say what they mean.
Example:
4. Summarising: It includes applying the reflective listening.
Example:
Motivational Interviewing Scenario Francisco is a 72-year old Latino male with type-2 diabetes who lives independently...
Story: Stephen Smith is a 58-year-old male who has type 2 diabetes mellitus, (diagnosed 5 years ago) hypertension, and hyperlipidemia .His body weight is 115 kg. His glucose was 350, Hemoglobin A1C is 13, and his last cholesterol is 350. He is currently taking metformin 500 mg bid "sometimes" but he knows nothing about how the medicine works and not sure he even needs it. He was also prescribed regular insulin on a sliding scale, but stopped taking it 5...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking...
The patient is a 73 years old man diagnosed one year ago with type 2 diabetes mellitus. He has a history of coronary heart disease s\p angioplasty 5 years prior, hypertension, retinopathy, and left foot neuropathy. He makes every attempt to follow a healthy diet, and has been avoiding table sugar for the past year on his physician’s advice. He comes to see the registered dietitian due to a persistently elevated hemoglobin A1c and hypoglycemia during the night. His weight...
The client is a 72 year old gentleman who lives with his wife and is a part-time crossing guard at the local elementary school. He is in relatively good health. His only complaint is osteoarthritis in his hands and knees for which he takes NSAIDs prn. He fell walking up the stairs to his bedroom at home. He presented to the ER with a fracture of the right hip and underwent on open reduction and internal fixation repair (ORIF). He...
A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse? “With type 2 diabetes, the body of the pancreas becomes inflamed.” “With type 2 diabetes, the patient is totally dependent on an outside source of insulin.” “With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.” “With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the pancreas.” 2. The nurse caring...
please answer all the questi A patient admitted with type 2 diabetes asks the nurse what “type 2” means. What is the most appropriate response by the nurse? “With type 2 diabetes, the body of the pancreas becomes inflamed.” “With type 2 diabetes, the patient is totally dependent on an outside source of insulin.” “With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased.” “With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the...
Cardiovascular Case Study M.R. is a 63 year-old Caucasian male who was admitted for an angioplasty with stent placement is his right coronary artery. He is an insurance agent and has been working his normal hours. Does not indicate any additional physical activity above normal daily activities. Ht. 5’9” Wt; 240# No recent weight gain or loss Blood pressure: 160/100 mm Hg LDL 160 mg/dl HDL 35 mg/dl Blood glucose: 240 mg/dl Medical Hx: Type 2 diabetes Family Hx: Father died at the age of...
72 Report 100 HISTORY: Mr. Meyer is a 48-year-old, divorced, white male who was admitted after he was found lying on the floor in his apartment. Evidently, he had taken a fall, and he had some bruises on his face and tongue. Later, during the hospitalization, he developed delirium tremens and required to go on the ventilator. Earlier this week, I also came to see this patient, but at that time, he was given a dose of Haldol, and he...
(I appreciate if you can type the answer.) Patient A.B. is a 70-year-old male who had a right total knee replacement done yesterday. His past medical history includes osteoarthritis, hypertension, high cholesterol, diabetes mellitus, and GERD. During your initial shift assessment, the patient is noted to have swelling in his right calf and reports tenderness to touch in the calf region. You ask him to dorsi/plantar flex his right foot against resistance from your hand, and he indicates that the...