NR 302 RUA Health History PDF

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The RUA project of 302. The initials of all participants and the conclusion should be changed. Reflection is what dropped my grade so all the information in the interview I got full credit for...

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NR 302 RUA Health History of MA

NR 302 RUA Health History of MA Chamberlain College of Nursing

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NR 302 RUA Health History of MA NR 302 RUA Health History of MA MA is a 37 year old recruiter and caregiver who lives in Las Vegas. MA presents to the clinic today in good health. She immigrated to the United States in 2006, when she was 20 years old. She lives with one child, 14 years old, and has two cats, and one dog. She has recently been remarried to a new husband for the past two years. MA presents to the clinic today because of runny nose, teary eyes, fatigue, headache, and, as she states, “pressure on her forehead and cheeks.” MA describes that in the past week during her morning runs she has noticed that she has been “tearing” and has had a runny nose. She states that usually she feels energized after her morning run but has been fatigued and sometimes resorts to taking a nap after her run in the morning, during her days off. On the days she is working, she usually drinks coffee or a high caffeinated tea to get rid of the drowsiness before she goes to work. Sometimes when she is just strolling outside she sometimes gets runny-nose with an accompanying headache. MA describes a tension headache that pulses behind her forehead. She also describes sinus pressure that occurs infrequently with the other symptoms. On a 1-10 scale, she ranks the headache and pressure around a 3 to 4, and on the more intense days 4 to 5. She notices the symptoms get more intense during windy days. The symptoms usually subside after she takes a nap or when goes to work in the office. MA wants to continue living in a painless and energized level that she has worked hard on. She likes to exercise three to four times a week with her husband and does yoga five times a week in the morning. She is currently on a ketogenic diet and has been on it for approximately six months. Her diet mainly consists of high fat, high protein, and high fiber. She does go to her doctor at least once to twice a year.

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MA describes a relatively healthy life with no experiences of any critical diseases or accidents. She states that she does not know of any allergies to medication. She does remember going through postpartum depression for a few months after her son was born. She does not take any prescription drugs. However, she does take a multivitamin daily, along with pre and probiotics, and does take a keto-based shake before or after her work outs. Before our meeting I did ask MA to bring all the medical documents she may have so that we can review it and make the process smoother for the interview. She stated that when she was born in Afghanistan she got a vaccine shot when she was born containing: Bacillus CalmetteGuérin (BCG), oral polio vaccine (OPV), and hepatitis B vaccine (HepB). By the time she was seven years old she received all the necessary doses including diphtheria tetanus and whole cell pertussis vaccine (DTwP) and measles–mumps–rubella vaccine (MMR). She did state that when she immigrated to the United States in Virginia in 2006, she did take a booster shot which her document listed as: HepB, DTwP, MMR, Pneumococcal polysaccharide vaccine, PPSV23, and meningococcal vaccine, MenACWY. She did take her first COVID vaccine in July 11, 2021, and took her second in August 9, 2021. Starting with MA’s maternal side, her maternal grandmother, HR, was born in 1929 and died in 2016, at the age of 87. MA only remembers HR as a housewife and only graduating with a high school diploma. MR only spoke Farsi. She had history of high blood pressure, diabetes, had 1 heart attack, and three strokes, the las stroke killing her in 2016. MA’s maternal grandfather, GR, was born 1909 and died 2018, at the age of 108, before his birthday. He was a provincial judge and gained a Master’s degree, in Political Science. GR primarily spoke Farsi. MA stated that he never had any major illnesses and took no medication all his life. However, he did have develop and was diagnosed with Alzheimer’s at the age of 93. MA’s mother, TR, was

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born March 27, 1950, age 71, is a retired psychologist. Her PhD in child psychology. She primarily speaks Farsi. She had a hysterectomy at age 45, was diagnosed with diabetes at age 52, and has had high blood pressure and high blood cholesterol since she was 43. MA also states that her mother has had plastic surgery before but she never discussed how many and where she had gotten the procedures. Most of MA’s maternal siblings had history of history of diabetes, high cholesterol, and high blood pressure. One of her aunts passed away with stage IV lung cancer in 2015, in her mid 60s. Ma also has an uncle who was diagnosed with kidney cancer and is still alive. MA’s paternal grandfather, AA, was born 1899 and died in 1986, at the age of 87. He was a government official for most of his life and earned a Bachelor’s Degree. He primarily spoke Arabic. He had a history of diabetes. MA’s paternal grandmother, NA, was born in 1896 and died in 1986, at the age of 90. Most of her life she was a housewife, only earning an eighth grade education, and only speaking Arabic. MA’s states that she her father stated that NA had no major illnesses or diseases, and NA died from natural causes. MA’s father, TA, was born March 22, 1946, age 75, and is retired of director of an oil company. He earned his PhD in economics. He primarily speaks Arabic. He currently has diabetes, and is taking medication for an enlarged prostate. His siblings also have history of diabetes and high blood pressure. MA was born December 15, 1983. She is a caregiver and recruiter for a talent agency. She earned her Master’s Degree in Management and primarily speaks English. A couple years after the birth of her son, RA, in 2010, she did receive breast augmentation. She has only gotten pregnant once, with no history of abortion or miscarriages. She is one of five siblings, and only thing notable to mention is that her eldest sister has hypothyroidism. She divorced her son’s father in 2014. She is currently married to TM, born January 23, 1983, he is the president of a

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staffing company and earned his Bachelors in Business after serving in the army. MA does not share any children with him. MA’s son, RA, was born September 6, 2007, and is currently in ninth grade. RA primarily speaks English and was recently diagnosed with ADHD. MA has not had any problems with cardiac, respiratory, gestational, or any other system. She has no history of any accidents or any other major illnesses at the moment. The only thing she states was a short period of postpartum depression she had after the birth of her son. MA states that she was very sheltered growing up in Afghanistan and Iran. Since those two countries had a strong Patriarchal and Muslim based culture she felt that she was mostly sheltered as a child. Though she did state that her parents were considered radicals and would often challenge tradition within her family. She mentioned that women were mostly viewed as “secondary citizens” her mother had privilege that most women did not have in their country. Her mother passed those ideologies to her to become more independent and self-sufficient. By the time she moved to America in her 20’s she moved out of her parents’ house and started living by herself in college and continued to live in her independence until she got married and had her son. MA states that though she grew up in a strong Patriarchal and Muslim culture, she recognizes that her parents and the privilege of her status gave her more freedoms that most women of her culture did not share. She also shares that the development in her later life makes her closely identify with American culture along with her Iranian and Afghani culture. She states that she only prescribes to Western medicine with integration of other holistic medicine such as yoga and meditation. As stated earlier, she is on a ketogenic diet, with high fat, high protein, high fiber food intake. She likes to integrate spices from her culture but does not know the medicinal effects of it in her diet.

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MA is the primary caregiver of her son, RA. Her ex-husband does not partake in raising their son and she stated that she “has made peace with it.” She is very happy with her supportive husband, TM, and he gets along with RA. However, she does most of the caregiving for RA: take him to school, take him to and from sports practice, and plans playdates with friends. TM does help with the groceries and some bills and cooks for the family. She says that she has fairly open communication with all her mediate family and feels greatly supported by them. She does get help from her parents who live only a few blocks from her and makes sure that she has family dinner time once a week with them. Her parents, TR and TA, help with babysitting if MA and TM want a date night or go on a trip, and has supported MA in whatever she wanted to do growing up. I interviewed my patient, MA, and I feel like the patient treated this simulation very seriously and cordially. The interview was a little long, and we had to take a couple breaks in between questions, either because her son was asking for her and she grew weary from asking all the questions. I realized that in a more professional setting in a hospital, it would have been best to have provided water and a place without distractions. If TM was home, the interview would have gone through smoothly if he was to look after him while we MA and I talked. The lighting and time of day of the early afternoon was perfect, and MA was not tired and finished everything she had to do before we interviewed. I remember, in my personal life, that my doctor would ask history of vaccination and a health record to be sent to Human Health Records before our first meeting so that he had information before we met. This helped when planning my meeting with MA. MA talkative and would go in tangents of other family members or other memories as I asked her about her family or how she travelled her to the US. It was difficult for me to know how and when to cut the conversation as to not prolong the interview for too long. After a several

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moments of her tangents, I learned how to bring back the conversation back to the questions I needed answers to. Other moments, I asked her to pause for a moment so that I can write the information better, but I feel that it was a little rude of me to break the flow of the conversation. Since I did not know her well I did not know on how to properly transition from one point to the next point I needed to address efficiently. Questions that seemed to bother MA was when I started to ask about her husband or son. She felt that the questions about her husband were inappropriate because it was, in her words, “his business.” And questions about her son she was a little protective of him. I had to explain that psychosocially the matters that affect her husband and her son does have a mental and physiological effect on her. She began to understand and continued with the interview cordially till the end....