Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

response

I enjoyed reading your post and getting your perspective on treatment of BK. I especially liked how you made sure to focus on her spirituality that you focused on the importance of shying away from things that may be emotional triggers for her, (her weight; her mother). While I think that those issues are of great importance, I believe that it would benefit more to build trust and focus on those issues at a later appointment; possibly at an appointment where she is alone.

Ensuring that we, as APRNs, address the individual as well as their culture. In this case, the fact that the patient’s mother has a history of drug abuse is definitely a risk factor, but should not be the only piece of the puzzle when evaluating the patient for potential risk behaviors. An individual may belong to many subgroups and that the behaviors and attitudes of a subgroup can override the impact of the cultural values of the larger group (Ball et al, 2019).

Screening for depression in this particular patient will also be of great importance. When doing so, it is imperative that screening is be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. (Siu, 2016). Treatment of this particular patient should occur over multiple visits and her completed treatment plan should not be based off of the single visit.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Siu, A.  (2016).  US Preventive Services Task Force Pediatrics.  Screening for Depression in Children and Adolescents 137 (3) e20154467; DOI: 10.1542/peds.2015-4467 BK is a 16-year-old Caucasian female – NURS 6512 week 2 discussion