Clinical scenarioAngelo is a 50-year-old man. He has type 2 diabetes mellitus and has chronic back pain and a recent diagnosis of colon cancer. Angelo presented for assessment at his local hospital...

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clinical Scenario


Clinical scenario Angelo is a 50-year-old man. He has type 2 diabetes mellitus and has chronic back pain and a recent diagnosis of colon cancer. Angelo presented for assessment at his local hospital after being encouraged by his neighbour. He lives alone and was divorced about 10 years ago. He has two adult children who he sees about once a month. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn, flat in affect and with limited eye contact.. He reports that he doesn’t have any motivation and has withdrawn from his friends and family. He finds it hard to enjoy activities that he used to like, and feels hopeless about the future. He expresses some thoughts of dying, and states that “maybe it would be better if I died”, however he denies suicidal ideation. He also worries “constantly” about his cancer diagnosis and if he will survive stating “no one would care if I was gone anyway”. Clinical scenario questions 1. During your interview with Angelo, you note that he is not forthcoming with personal information. What communication techniques would you use to obtain a clinical history. (400 words) 2. Angelo appears to be experiencing symptoms of depression. Outline the main symptoms of depression, and how these impact quality of life (400 words). 3. Discuss the link between physical health and depression. You can focus on one of Angelo’s physical health conditions (diabetes, chronic pain or cancer) if you would like to (400 words). 4. Explain one therapeutic and recovery-focused intervention that you could use to help Angelo with his anxiety or low mood (400 words). Referencing ● Use APA 7th referencing ● Ensure you use high-quality sources, primarily peer-reviewed journal articles ● References must be no more than 5 years olds ● A minimum of 10 references to be used Preparation ● You may use headings based on these key areas to signpost your essay. ● Apply for extensions with supporting evidence. Only extension requests supported before the deadline will be accepted. ● You can submit a draft to the Draft Checking link to obtain a report on matched text ● The assignment length is 1600 words (including in-text citations and hearings, but excluding the reference list). ● Assessments that are more than 10% under or over the word limit will lose 10% of the final mark. ● Use Arial 12-point font. ● No introduction or conclusion required. Get straight to the point. ● No personal pronouns to be used. Write in academic English . Marking and Feedback Criteria Your assignment feedback and grading will be based on the following criteria: · Understanding of clinical concepts. · Application of clinical reasoning skills and research. · Academic literacy skills - writing style, grammar and spelling. · Academic integrity skills - accurate use of CDU-APA referencing style.
Answered 7 days AfterOct 18, 2022

Answer To: Clinical scenarioAngelo is a 50-year-old man. He has type 2 diabetes mellitus and has chronic back...

Dr Insiyah R. answered on Oct 26 2022
60 Votes
Clinical scenario questions    2
Communication techniques    2
The main symptoms of depression and how these impact quality of life    3
link between physical health and depression    4
Therapeutic and recovery-focused intervention    5
Reference    7
Clinical scenario questions
It's clear from this mental health essay that effective communication is crucial to building trust and persuading the other patient to see t
hings from the speaker's perspective. Clients will be more open to sharing their thoughts and feelings when they trust the doctor and feel confident in his ability to do so (Sarinopoulos et al,2013). Since Angelo wasn't explaining his feelings to the doctor, it's clear that they need to work on their methods of communication.
Communication techniques
Ans 1: The foundation of most doctor-patient interactions is integrated medical interviewing, which takes a holistic, person-centered approach to healthcare. Assuming there are no pressing symptoms or issues, the patient-centered part of the interview will come first (Ozkaynak et al,2013). By letting the patient guide the discussion, this method both acknowledges the significance of the patient's worries and helps him or her feel more at ease with the clinician. Information about a new patient is gathered in the following sequence during an integrated interview: principal complaint, history of current disease, previous medical history, past surgical history, past obstetrics and gynecologic background, family history, social history, other health concerns or habits or dangers, evaluation of systems (Finset, 2014).
In the case of patients with whom the doctor is already acquainted, this list could be narrowed or shortened. The most bothersome symptom and the patient's personal and medical background are revealed in the major complaint or history of current disease. A patient-centered interview method is ideal for constructing this part of the history.
The purpose of taking a patient's clinical history is to aid in making a diagnosis and formulating a treatment strategy based on that diagnosis (Sarinopoulos et al,2013). It may include the patient's medical history, symptoms, diagnoses, and therapies, among other things.
I may use the following methods of persuasion to learn about Angelo's medical background:
By making myself available, I want to show Angelo that I care about him and am prepared to give him the attention he requests. Just spending some time with him improves his attitude and allows him to open up about his medical background. Angelo is a low-mood guy; spending time with him, even if it's only to offer to watch TV, boosts his mood and motivates him to work with you (Finset, 2014).
Silence is key because it gives Angelo the time and mental space he needs to formulate his next move before I introduce a new subject. After he has had time to think and feel at ease with the stillness, I will give him the opportunity to speak (Ozkaynak et al,2013).
Angelo's potential issue areas may be uncovered by careful monitoring of his behaviour and appearance. As an example, if someone tell Angelo that he's looking gloomy, he could elaborate on why he's lost enthusiasm for life and started babbling to himself. As a result, by keeping a close eye on Angelo, I may be able to identify previously unnoticed indications (VI et al,2013).
Encouragement and laughter—- Instilling Angelo with confidence that he can overcome his predicament would be a great aid. Visitors can assist him open up about whatever is bothering him by engaging in conversation. It's helped me immediately establish a relationship with Angelo, which has kept him more upbeat and receptive to conversation (Sarinopoulos et al,2013).
This kind of reflection might work well with Angelo, who is generally uncommunicative. If Angelo comes to me for guidance, I can consider his whole clinical record. I might seek his opinion on what he should do to improve certain predicaments. By accepting responsibility for his actions, Angelo is more likely to develop original strategies for dealing with the challenges he...
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