Thename of the patient I am writing about is Morris Cooper, who happensto be my very good neighbor. Morris has been an acquaintance, acompatriot, and I can only refer to him as a family. Ever since wewere young, Morris, and I we close and would carry on almost all ouractivities together. We attended the same elementary school for earlychildhood education and that even closed our ties further. This makesme bother about the health condition of a person I have spent most ofmy life with sharing secrets, helping each other and supporting oneanother.
ForMorris historical health records, it is pretty brief. Morris istwenty-four years old and was diagnosed with hypertension in hisfinal year at high school. This was preceded by complications aftersome period. Prior to that, Morris had never had any serious healthcomplication except one time when he did fainted remainingunconscious for over eight hours. Other health issues were justsimple diseases including cold and flu. After been diagnosed withhigh blood pressure, Morris has been observing the relevant medicalinstructions to stabilize his condition without failure. He takes hismedication with the discipline of the highest order.
HealthStatus, Perceived Barriers, and Support
Morrishealth status currently can be categorized as been stable. However,to stabilize his condition, he has had to constantly consult hisdoctor on many aspects that could likely affect his condition. Thisis regarding the kind of nutrition and exercises that suites hisconditions. Nutrition seems to be his greatest barrier toward hisrecovery since he has had to stop taking certain kind of meals thatdo not fit his condition. Temptations make him reverse to his formernutrition, but his condition cannot allow. Morris receive so muchsupport from parents, friends and also at the place of works. Hiscondition is understandable, and the task given to him suits him andhis condition perfectly at the place of work (Moore,2001).
Thechief complained recorded by Morris is the increased rate ofheartbeat during strenuous exercise. When he gets involved in anexercise activity that requires the use of excess energy, his rate ofheart beat increase exponentially. Moreover, intake of snacks with ahigh amount of sugar increases the heart beat rate. Sugary meals andjunk meals used to be his favorite back in high school. Hispreference was diverted by his condition although he at a time gets abite, and his conditions worsen. In general, his condition is stable,and no major incidences have ever been reported.
Historyof Present Illness
Morriscurrent present condition dates back to his time in high school. Backthen, no parent or guardian was present to recommend the kind of mealto eat. Morris had a great love for junk foods and snacks. As we areaware, these kinds of foods record a very high proportion of fat.Excess fat in the body is converted and stored under the skin. Inthat process, cholesterol, a not-degradable compound is formed anddeposits itself on the walls of the blood vessel. This narrows thepath through which the blood can flow through. Blood requirement forthe body remains constant, and the bodies resolve to increase theblood flow. This is achieved through the increase in the heartbeat toaccelerate the provision of important nutrients and oxygen to thebody. This is how Morris acquired his conditions. The history of hispresent illness is according to the explanation given by his doctor(Coiera,2015).
Familyand/or Social History
Nomember of the Morris family has been diagnosed with high bloodpressure or any other cardiovascular disease. Morris present illnesscannot be attributed to the family and is solely on his account.However, the society, in general, has had an increase in cases ofhigh blood pressure patients. When I went to the department of healthand enquired about the increased cases of hypertension they gave metheir account. The health official attributed the increased cases tothe change in lifestyle and eating habits among the people. Manypeople are resolving in consuming commercially processed food insteadof domestically cooked food. The processed food has a high-caloriecount that increases the amount of cholesterol in the long-run. Thatis also the cause of Morris condition, according to the report of hisdoctor.
FocusedReview of Systems
Highblood pressure has been a disease categorized as lifestyle diseases.The truth is that hypertension is not an illness but a condition.Once the condition gets an individual, it will never cease to existin those individuals. The only alternative that remains is for thepatient to manage the condition to survive. All that a patient needsis to focus on their medication and observe other requirements interms of nutrition and exercise level. The health sector is involvingitself in educating members of the public. Further, the governmenthas drafted laws that require food processing companies to disclosethe ingredient of their processed food to allow individuals makebetter decisions on the kind of meal(s) to consume (Slining &Popkin, 2013).
Morrishas been a friend since we were little children and as such myinterview with him proved to be easier since he could be open withoutany fear. Been a god fearing person, Morris respected people and hadall the time for conducting the interview. He answered questionspolitely and with much courage. Cultural variables that influencedthe interview process included the language use. I did try to useformal language, but the age proximity and the fact that we had knowneach other eases matters. All I intended was communication and in theprocess we used some informal language and constantly joked. However,never at a single place did we divert from the main course of theinterview. Morris was happy that his condition was stable and was,thus, open about how he felt.
IdentifyAge, Spiritual Values, and Cultural Variables That Were Consideredand How These Variables Influenced Your Interviews or Health History
Elicitinghistorical health information could be a milestone but yourrelationship greatly determines the same. Creating a rapport is thefirst thing. Let the patient trust you. This can be done through aformal introduction and explaining the use of that data.Authenticating the same can be helpful at times. Secondly, thelanguage use should be polite inquisitive but not compelling. Do notask the question they are comfortable with. Remind them not to answerquestions that touches on the subjects they feel should not bedisclosed. In general, be good and fair to the patient. Some methodsseem to compel patients to disclose their information, and some maybe forced to give misleading information. Other methods do notprovide an opportunity for further clarification of some contentiousissues. Techniques that are presentable to the patients should bethose that make patients feel secure and confidentiality of theirinformation. They should also make the patient satisfied with thatinteraction by the behavior of those collecting the information(Payab, Kelishadi, Qorbani, Motlagh, Ranjbar, Ardalan, &Heshmat, 2015).
Coiera,E. (2015). Guideto Health Informatics, Third Edition.Hoboken: CRC Press.
Moore,R. (2001). Thehigh blood pressure solution.Rochester, VT: Healing Arts Press.
Payab,M., Kelishadi, R., Qorbani, M., Motlagh, M. E., Ranjbar, S. H.,Ardalan, G., … & Heshmat, R. (2015). Association of junk foodconsumption with high blood pressure and obesity in Iranian childrenand adolescents: the Caspian‐IVStudy. Jornalde Pediatria (Versão em Português),91(2),196-205.
Slining,M. M., & Popkin, B. M. (2013). Trends in intakes and sources ofsolid fats and added sugars among US children and adolescents:1994–2010. Pediatricobesity,8(4),307-324.