Demographic Data
John Locke is a 45-year-old male who lives in Kansas City, Missouri. He lives with his wife, three sons, and a daughter. His mother, father, brother and two cousins also live close by. Locke is a fire department supervisor at Missouri. His job at the fire department is a high-risk career. John is currently under medication on managing stress.
Perception of Health
Locke believes in a healthy living lifestyle. He is a strong believer and advocates for non-use of drugs such as alcohol, tobacco, among others. He believes that healthy living comes from regular exercising, eating a well-balanced diet, and having a peace of mind. From his skills on healthy living at the fire department, he has promoted healthy living members to his family and relatives.
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Past medical History
Locke had a childbirth problem which was discovered when he was three years of age. He had a slight deformity on his left leg, but surgery was done in good time. John started experiencing anxiety and depression three years ago and is currently under medication. He had stressful conditions arising from family and financial difficulties of supporting his family. He believes that prevention is better than cure and thus to avoid stressful conditions and to incur huge costs in treating risky diseases, it is good to take regular medical checkups.
Family Medical History
John's father has been suffering from cancer for the last six years. The mother from her old age and loss of memory has Alzheimer's, and John's family is considering taking her to a family home before things become worse. John's brother is an alcoholic and is now suffering from anxiety and depression. His cousin is diabetic and is insulin-dependent. John is under too much pressure as he has to cover the medical bills of some of his family members who don’t have medical. The family’s experiences have made him realize the importance of healthy living and regular exercises to avoid some of the risky diseases.
Review of Systems
Locke views his health as good, apart from common regular diseases like flu, coughs, and skin rashes due to sunburn. Though he is short-sighted, he denies any form of excessive headaches and dizziness apart from when under pressure. He denies any sign of ringing and pain in his ears though he is exposed to loud noises at the fire department. He also denies any form of abdominal pain apart from gas that comes from food. He says the fire department offers regular checkups on urine and has not been seen to have any problem in the last few years. He, therefore, considers himself physically fit and healthy.
Developmental Considerations
Based on Erickson’s theory, Locke is at the generativity versus stagnation developmental stage. Locke has had a successful career journey which he has worked for the last 16 years. He has been married for the last 20 years and has four children altogether. He is proud of the milestones he has made in his life and the impact he has made in society.
Cultural Considerations
Locke was born and raised in the United States. English is his native language, and he can communicate easily with the locals. He is an evangelist and attends church regularly. Locke does not have any cultural issues that a health provider would be concerned with.
Psychosocial Considerations
Through experiences from his family, Locke has experienced stressful conditions and has taken medications. He believes that the best way to manage stress is to exercise regularly, spend time with family, and travel to new places. The fire department has an internal counseling team that advises and monitors employees on stress management techniques.
Collaborative resources
John believes that society is the greatest tool in managing health menace. From his campaigns on a drug-free society, he has managed to build a community that advocates for a healthy living. From this, the community has formed a foundation to support persons with risky diseases, mental conditions, stress, and drug abuse within his locality. People can be seen exercising every day, and posters are all over his neighborhood, promoting a healthy campaign.
Reflection
The interview process was insightful and informative, articulating the foundational issues that are related to management of health conditions. In order to inspire confidence in the interviewee, the environment was casual and interview was conducted in evening hours. The client works as fireman and this was an ideal time because he was not on shift. Notably, the interviewer responded to the questions in an open-minded and honest manner. He exhibited confidence and ability to articulate issues related to health risks and how to manage them. Moreover, the interviewee was willing to receive professional advice on how to deal with certain issues related to health risks and management.
To ensure that the client understood all the information conveyed, I used layman language and common medical terms in order to extract details from John’s history and avoid communication barrier. Through the interaction, I learned that direct contact with potential patients requires patience and application of communication skills. Compared to what I learned, our interaction was effective and I tried much to apply the professional skills required in practice. All aspects of the interview went well, especially the confidence and composure exhibited by the client. The main barriers to communication included use of medical and professional terminologies which the client could not understand. In order to overcome them, I plan to understand the background of a person and select and appropriate language to communicate with them. Some of the anticipated challenges included language barriers and diverse cultural backgrounds. From the developments through the interview, I believe that I collected all the required information. From my learning lessons on therapeutic communication, I would say that it is more of a confidential process that requires the trust and honesty of the respondent. Generally, the interview went on well, but in the future, I would propose enough time to engage the interviewee and also have a chance to check with his doctor and the process of medication.
References
Mary, G. (2014). Shaping Family and Community Health. Family & Community Health, 37 , 168-169.
ncbi.nlm.nih.gov. (2019). Family History Assessment. Retrieved September 29 2019, from ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/books/NBK115506/
ncbi.nlm.nih.gov, Catherine, W., Amanda, S., & Mack, R. (2014). Family History Assessment. Retrieved September 29, 2019, from ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3448124/
ncchc.org. (2019). Therapeutic Communication and Behavioral Management. Retrieved September 29, 2019, from ncchc.org: https://www.ncchc.org/cnp-therapeutic-communication
