Question

You are seeing Michael “Jazzy” Myer today at clinic. The chief complaint is “I need my medications refilled” on the chart.  Jazzy is a Puerto Rican transgender male to female patient who is new to the practice. She has been scheduled for a 15-minute appointment today so you know you will need to address the problem for today and schedule a return new patient visit. The patient has a history of hypertension, chronic kidney disease, chronic pain, and diabetes type 2.

 

Medications

·       Estradiol Valerate 60 mgs IM q 2 weeks

·       Sprionolactone  200 mgs PO q day

·       Amlodipine 10 mgs PO q day

·       Vicodin 7.5 mgs q 6 hours PO prn pain

·       Metformin 1000 mgs PO BID q day

After you open the interview and invite the patient to tell her story, Jazzy says, “I was just release from San Quentin a week ago and I have been out of my medication since I was arrested 2 years ago.” I really need my pain medication and Valium. I am so nervous.

Directions:Complete the following table based on the case description.

1.     Develop 2 open-ended "request questions" to begin your patient interview today.

2.     Develop 2 focused questions that invite the patient to briefly tell you their story.

3.     Identify 2 cultural considerations that may positively or negatively influence the data collection process.

4.     Identify a belief or assumption that you hold that may influence your ability to build a relationship with the patient.

5.     List two things you can do to make the clinic environment welcoming to your patient.

 

Answer 1

Directions: Complete the following table based on the case description.

Develop 2 open-ended "request questions" to begin your patient interview today.

How can I help you? Can I know more about your health conditions?

Develop 2 focused questions that invite the patient to briefly tell you their story.

How you managed your health conditions while in San Quentin? Why don't you continue your medication during the stay of San Quentin?

Identify 2 cultural considerations that may positively or negatively influence the data collection process.

Giving equal opportunities to transgender promotes optimum data collection. Maintaining culturally appropriate communication for optimum obtaining of required data.

Identify a belief or assumption that you hold that may influence your ability to build a relationship with the patient.

When interviewing the patient, a preference for mental health education builds a good relationship with the patient. The involvement of a Sufficient number of health care providers helps to establish a therapeutic relationship with the patient.

List two things you can do to make the clinic environment welcoming to your patient. Provide a private and comfortable environment for the patient. Avoid distractions, interruptions and ensure the safety of the patient.