Comprehensive Health History

COMPREHENSIVE HEALTH HISTORY 8

ComprehensiveHealth History

Abstract

Thepaper revolves around a twenty four year old Morris Cooper, achildhood friend’s, past medical history. He was diagnosed withhypertension during his last year of high school. Coming from afamily without any previous record of hypertension, it comes outlater that his disease was more of a nutritional problem than agenetic one. Apart from one time when he passed out for about eighthours after being hit by a ball on the face during a football match,Morris Cooper had in the past never shown any signs of such a seriousdisease apart from mild ailments.

Currently,Morris condition is stable and he is constantly getting help frommedical and nutritional professionals. He also constantly exercisesand avoids the peer pressure that got him into unhealthy eatinghabits that greatly contributed to his getting hypertension. Morrisis currently being assisted by friends and family to maintain hisrecommended healthy eating habits and he also get assistance from hisemployer, who offers them a balanced diet lunch. Since he wasdiagnosed with hypertension, he cannot play his favorite game,football, because of the challenges associated with it like, blurredvision, poor concentration and high fatigue rate, amongst others.Excess fats in the body are stored as cholesterol in the intestinallining causing the blood vessels to constrict thus causinghypertension.According to his physician, this is how he gothypertension a trend that has been on the rise in the last fourdecades. Considering my close interpersonal relationship with Morris,and his religious affiliation, my interview ran smoothly and hencethis paper’s content is based on unbiased and valid information.

IdentifyingData

Thename of the patient I am writing about is Morris Cooper. He is myneighbor, an acquaintance and a compatriot who I value as a familymember. We have been close friends since childhood. My memory isnostalgic of our experiences when we played and schooled together. Weattended the same elementary school as well as high school. As such,I am familiar with his sickness because we confided in each otherconcerning personal and family issues. I also had access to hismedical records because we supported each other like siblings.

PastMedical History

Morris’historical health records are very brief. He is twenty-four yearsold, and his family’s physician diagnosed him with hypertensionduring his last year in high school. Prior to the discovery of thecondition, neither Morris nor a close family member had such apreexisting condition (Slining &amp Popkin, 2013). In addition, hehad not suffered from serious health complications except one timewhen he fainted and remained unconscious for over eight hours after aball hit him in the face when playing football. Of course, he alsosuffered from mild conditions such as common cold. Since thediscovery that he was suffering from high-blood pressure, Morristakes appropriate diets and medication as instructed by the doctor tostabilize the condition (Payab et al., 2015).

HealthStatus, Perceived Barriers, and Support

Presently,Morris’ health status is stable. He consults his doctor frequentlyso that he can monitor predisposing factors that could destabilizehis health. Exercise and nutrition that would suit him are some ofthe primary issues he seeks guidance from the therapist (Payab etal., 2015).The physician has prevented him from taking diets thatcould be detrimental to his well-being on many occasions. In fact,the doctor informed him that nutrition was his biggest challengetowards maintaining a healthy lifestyle since he has had to stop himfrom consuming various diets (Moore, 2001).

Peerinfluence is among the primary forces that made Morris to eat junkdiets. Moreover, wholesome diets are more expensive and available infewer locations compared to the unhealthy foodstuffs. In fact, heinformed that he frequently ate the high-calorie meals from the fastfood joints because he could not afford the full course meals offeredin the high-end restaurants. He also attends evening classes afterwork so he has no time to cook at home.

Luckily,Morris receives tremendous support from his family, friends and thecolleagues at his workplace. Some of his family members and friendspledged to be contributing some cash that he can use to buy healthydiets. Additionally, his boss said that the company would beproviding free and balanced diet lunch to all the staff members.Payab et al (2015) assert that junk foods are among the primarycauses of hypertension. Therefore, nutrition is an efficient strategyto restrain hypertension.

ChiefComplaint

Morris’primary complaint was heart palpitations during strenuous exercise,poor skin sensitivity, blurred vision, trouble concentrating, boneand joint pains and wounds take very long to heal (Coiera, 2015). Inaddition, he also cited issues such as headaches, drastic weightloss, urinating regularly and constant fatigue (Coiera, 2015). As aresult, the conditions make him unable to participate in the footballgame, which is his favorite sport.

Historyof Present Illness

Morrisbegan to suffer from the present hypertension condition during hislast year in high school. He attributes the condition to poornutrition. He had a great appetite for junk foods. On many occasions,his parents emphasized on consuming healthy diets at home (Moore,2001). However, he took advantage of the independence he had when hewas at high school to eat high calorie and fat meals from the fastfood outlets around the school. Payab et al. (2015) claim that excessbody fats are converted and stored in the form of cholesterol on theinternal wall of blood vessels. Subsequently, increased cholesteroldeposits make the internal space of blood vessels narrow over time.The action causes the blood quantity that can pass through a bloodvessel at a time to decrease. Since the body still needs the sameamount of energy and oxygen, homeostatic system triggers heartpalpitations to enhance the rate of blood flow in the entire body. Inaddition, the heart beats faster to meet the required blood supply inthe entire body (Coiera, 2015). The physician said that Morrisacquired the hypertension condition in a similar way.

Familyand/or Social History

Onthe same note, Morris has no family members who suffer from eitherhypertension or cardiovascular related to conditions. For thatreason, the condition is associated with lifestyle practices insteadof genetic inheritance. According to Moore (2001), the high bloodpressure patients have drastically increased within the last fourdecades. To validate the information, I visited the department ofhealth and inquired about the increased cases of hypertension. Thehealthcare provider I interviewed gave me a similar account thatattributed the upsurge in hypertension patients to the unhealthylifestyle practices and eating habits in the society (Moore, 2001).In particular, most of the fast foods and commercially processeddiets contain large amounts of calories that are converted intocholesterol (Coiera, 2015). The physician who was treating Morrisalso gave a similar theory towards the condition affecting hispatient.

Focused Review of Systems

Constitutional

Fatigue, visual disturbances, weight loss, lack of appetite, fever and irregular heartbeat

Eyes

Eye discharge, eye pain and blurred vision

Ear, nose and throat

Presence of sore throat and epistaxis. No sinus pain and no congestion

Genitourinary

No abnormal bleeding, no pain, no discharge, no obstructive symptoms and no frequency

psychiatric

Presence of anxiety, loss of sleep, forgetfulness, nervousness and depression

Cardiovascular

Presence of chest discomfort, palpitations, shortness of breath when doing vigorous activity, difficulty of breathing when lying down, chest tightness, and difficulty swallowing food

Hematologic

Vulnerable to bruises and easy to bleed

Neurologic

Occasional fainting, dizziness, tremor, numbness, tingling, weakness and seizures

IdentifyAge, Spiritual Values, and Cultural Variables That Were Consideredand How These Variables Influenced Your Interviews or Health History

SinceMorris and I share secrets, the interview went on smoothly. He alsoshared his experience with the hypertension condition comfortably. Inaddition, we respect each other so he allowed me as much time as Ineeded as well as answered all the questions comprehensively. I choseto interview Morris because he is over eighteen years old, therefore,I did not need to look for permission from a third party so that Icould ask him the questions. Although I know a fourteen-year-old girlwho also suffers from the hypertension condition, I refrained frominterviewing her since I would have followed a long ethical procedureto acquire permission to interview a minor.

Morrisis a staunch Christian, who believes in telling the truth. Ibelieved all the answers he gave me were honest to the best of hisknowledge, because his faith requires him to be. He also answered myquestions with maximum politeness. Another factor that influenced theinterview was the language we used. We both strived to use formallanguage, but we occasionally used informal speech. Our ageproximity, as well as our long-time friendship, helped us to relax aswell as speak in the informal lingo. Nonetheless, the culturalfactors did not take us away from the subject matter of theinterview.

Inmy view, the interview was successful because I managed to acquireall the information I needed to know about the health status of myfriend. In addition, I learned that the face-to-face interview Iconducted gave Morris an opportunity to relieve his bitternesstowards the condition. I discovered that he was remorseful that hefailed to adopt a healthy lifestyle since his childhood. However, Iblamed the health department for lack of vigorous campaigns toeducate the public regarding the significance of healthy lifestyles.

References

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. &amp 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., &amp 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.