The purpose of this essay is to describe the comprehensive health examination of a 33-year-old male who is my paternal uncle. Concerning the nursing guidelines code of conduct on the privacy of patient’s data, he will be called ‘Martin’ which is not his real name. The holistic health examination deals with analyzing the patient’s information to design a plan that addresses the concerns of the individual (Jarvis, 2015) .
Health History
Prostate Cancer
In 2013, Martin consulted a healthcare provider in Georgia after he discovered the signs of pain when urinating, blood stains in the urine and irritation in his intestines. The condition led to his admission to hospital to get medical assistance. The diagnostic examinations showed that Martin had a prostate tumor. Martin’s oncologist made recommendations that he should undergo chemotherapy along with hormonal treatment for 12 weeks to handle his tumor. The healthcare provider added that he should use Docetaxel as well as Degarelix in his treatment to eliminate the tumor cells ("Prostate Cancer Treatment," 2018) .
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In Martin's family, there is no history of a person who had prostate cancer. Martin is the first member of his family to have the tumor. He began to have urine incontinence, one year after the discovery of the disease. Martin's bladder had no control due to the weakening of the sphincter veins which lead to the unexpected urination.
In 2015, Martin’s oncologist proposed that he should have a primary prostatectomy to prevent the spread of the tumor in his prostate cells. After the surgery, Martin became impotent which led to erectile malfunction.
Physiological Assessment
Urine Incontinence
Martin urinates unexpectedly because his bladder has no control as a result of the weak sphincter veins. Martin also suffers from irritation when urinating and has difficulties in blocking urine. Sometimes, Martin has abdominal aches around his intestines which discontinue after he pees.
Erectile Dysfunction
Martin could not erect after the surgery of the primary prostatectomy. Martin had no children before the operation which has made him unproductive which was caused by the low performance of his sexual abilities. The healthcare providers recommended that Martin’s condition could have been brought by the destruction of nerves that innervate his sexual organs.
Psychological Assessment
The sequence of events and examinations of the outcomes have affected the mental status of Martin. At the beginning of 2016, Martin was hospitalized in a mental health center after he was diagnosed with manic conduct. Martin’s psychiatrist reacted to his mental status. He proposed that Martin should take anti-depressants and undergo a three months psychotherapy appointment which will relieve his psychological condition.
The immediate relatives of Martin claim that he is shy and does not socialize with other people. He likes to be on his own while listening to music or watching movies. Martin's parents describe him as a happy and passionate man, but he is suffering from depression. His mother attested that his behavior changed after discovering he had a tumor.
Social Assessment
Martin was the leader of the volleyball and football groups in their region. He stopped taking part in the teams because of his urinal incontinence. Martin perceives that his colleagues in the groups cannot support him due to his urine incontinence condition. Mary (an alias), his wife for six years, abandoned him after realizing that he was unproductive and had the erectile malfunction. Martin is interested in relationships because he believes that women cannot bear his condition. The social challenges that Martin has faced have increased his stress levels because he thinks that people cannot offer support to him. Martin does not have a close friend to support his feelings.
Spiritual Assessment
According to the Priest of Martin’s village, he is a staunch Christian who is faithful and is ready to offer support to the community. He attended church frequently and took part in the choir. Martin lost his interest in church activities after realizing he was suffering from a prostate tumor. Martin comprehends that his pathological state is as a result of the consequences of his sins. He perceives that he is cursed and can no longer attend church.
Developmental Assessment
Concerning the analysis was done on the patient, it is clear that he has no hope. Martin dreamed of becoming a pilot since he was young. He is undergoing misery after being diagnosed with a tumor, infertility, and urine incontinence. Martin thinks he cannot pursue his dream because he does not have the potential of working productively.
Cultural Assessment
Firstly, Martin does not believe he can be relieved from his condition after taking hospital medication. He perceives that ancient healthcare providers and drugs can heal him which has prompted him to try out over after he was diagnosed with the condition. Martin admits that the prescriptions administered by the medical professionals increase the adverse effects of his health. He accuses the oncologist of worsening his status after he underwent the prostatectomy operation which has lead to his impotence.
Stress and Coping Mechanisms
Martin is taking anti-depressants and pain management drugs that assist in managing the severe headaches. He listens to music and watches movies as well as documentaries to get relieved from stress. A few weeks ago, Martin joined a team of individuals who have prostate cancer. They meet at least once in a week to motivate one another and debate on the health factors of their state.
Martin’ parents and relatives claim that he becomes happy when he meets with his colleagues with prostate cancer. This is an indication that the team plays an important role in assisting Martin to overcome his health status. The depression and coping methods are appropriate when they facilitate the patient’s care as well as security.
The efforts to handle Martin’s stress should be increased through attending community programs that enhance the individual’s welfare. Martin should be encouraged to take part in community activities that promote the health of individuals to relieve his depression. Martin will build up his self-confidence as a result of engaging in activities that give encouragement and hope to patients.
Teaching Plan and Client’s Goals
With respect to the psychological analysis, Martin is experiencing desperation and is miserable. He spends most of his time alone because he has a negative perception towards the community and his colleagues. Martin needs advice on the importance of socializing with members of the society. The reasons for Martin forming relationships with the people in the community are: he will overcome his condition in time, and it is essential for stress management. It will create a platform for Martin to share his challenges and he will get advice on the ways of handling situations (Djulbegovic et al., 2010) .
Martin should revive his religious beliefs and faith as a Christian. The pure dedication and loyalty will change his perception of the disease which will enable him to acknowledge the quality of life. He should take part in church activities for him to regain his former zeal of serving the church and community. The religious teams will motivate Martin to live responsibly. He will also get encouragement from his Priest which will change his attitude on his medical condition (Djulbegovic et al., 2010) .
Martin should be given information on the health concepts related to his health state in spite of believing in the healing power of the ancient medicine. This will assist Martin to acknowledge the essence of medical assistance from the healthcare providers. Martin should collaborate with the physicians through adhering to the treatment processes and recommendation for him to improve his condition (Djulbegovic et al., 2010) .
Per the developmental factor, Martin is not interested in sports that he once was the leader of the team. Martin should continue to play the games after getting counseling and attending mentorship meetings. This will enhance his interest in the games because he will gain the skills of handling his health state (Caini et al., 2014).
Concerning the social aspect, Martin portrays an anti-social character that has decreased his self-esteem. Martin should engage in social activities such as watching football with his friends rather than sitting by himself in the house. He should join social platforms to make two new friends in a month. The interactions with other individuals will assist Martin to handle depression and medical state (Caini et al., 2014).
The medical professionals should encourage Martin on the management of his medical state. Martin should adhere to treatment processes and recommendations that are related to his pathological state. He should work on handling his urine through following the guidelines of the healthcare provider (Caini et al., 2014).
The teaching strategy will have a printed copy for the clients to make references in areas that they need a broad understanding. The plan will comprise of all the aspects that affect the client with the recommended solution. The evaluation procedure will focus on follow-ups in the patient’s adherence to the recommendations. The success of the teaching plan will be realized when the patient is determined to meet all the goals. In case Martin regains his previous lifestyle, the teaching strategy will have a success rate of above 75%.
In conclusion, holistic health assessment focuses on examining the patient’s background information and designing a plan for addressing the health issues. The analysis of the patient’s health helps in constructing the strategy with respect to the cultural and social beliefs. The successful implementation of the teaching plan improves the health condition of the client.
References
Caini, S., Gandini, S., Dudas, M., Bremer, V., Severi, E., & Gherasim, A. (2014). Sexually transmitted infections and prostate cancer risk: a systematic review and meta-analysis. Cancer epidemiology , 38 (4), 329-338.
Djulbegovic, M., Beyth, R. J., Neuberger, M. M., Stoffs, T. L., Vieweg, J., Djulbegovic, B., & Dahm, P. (2010). Screening for prostate cancer: systematic review and meta-analysis of randomized controlled trials. BMJ , 341 , c4543.
Jarvis, C. (2015). Physical Examination and Health Assessment – Elsevier on Vital Source .
Prostate Cancer Treatment. (2018). Retrieved from https://www.cancer.gov/types/prostate/patient/prostate-treatment-pdq
