Student Name

Christopher Mabe

Client Initials L. W.

Room # 303-2

Age: 96 Male

Three part client interview:

Identify and get permission from a client to perform this three-part interview. You may select more than one client for this assignment if the interview becomes to tedious for one client.

1) Interview: Stress and Coping: Potter and Perry (2009), Chapter 31

Identify a client to interview and assess regarding stressors. The intent is to provide opportunity to explore how the person perceives and is affected by stress, how the client manages stress, and nursing interventions to assist in management of stress. 1. Review textbook 2. Explain intent of assignment to client. 3. Elicit from the client examples of stressors (a minimum of three) and how the client manages the resulting stress. Be sure to review Box 31-6, page 492, of Potter and Perry for nursing assessment questions for your selected client. Record the responses in the designated columns. 4. Submit completed work to instructor for grading on WebCT

Client Interview: Influence of Stress on Health

Client Perception of Stress Client Management of Stress: Maladaptive coping used and adherence to healthy practices. Nursing Intervention in Stress Management

Client expressed some stress concerning his movement/falling alarm on the back of his wheelchair and bed.

After many unintended falls, the client has understood the primary reason behind the alarm is his own personal safety and protection.

Nurse could assign a CAN or friend, etc. to spend a certain amount of time each day, 1-2 hours with client. This way, he could enjoy not being tethered to this alarmdevice. Client has learned to avail himself of the facilities transportation services as well as family, friends and staff.

Client regrets that he cannot drive anymore. He mentioned that he no longer has the freedom or authorization to drive. Client mentioned that he was originally stressed about lack of opportunity to practice his photography hobby. Client pointed out that he had very few close friends at the facility. He luckily still has his wife (who happens to also live at the facility).

Client understands that in his current physical condition, he cannot operate an autmobile saflely any longer. Client had all of his personal hobby photography tools of the trade brought to him at the residence. He can now practice his hobby anytime. Client has be-friended his roommate as well as some other people he has recently met while eating in the dining room at the facility.

Staff could help to encourage the enjoyment of his hobby by enlisting him to be the facilities resident photographer. Staff could foster social get togethers or mixers so the client as well as others have more opportunity to meet new faces and get to know them better.

2) Health and Wellness: Potter and Perry (2009), Chapter 6

Interview and assess a client regarding his/her perception of current status of wellness-illness. Apply knowledge and skills gained in NURS 3032 Therapeutic Communication to interact with the client. The intent is to provide opportunity to explore how the person feels in each of the following five dimensions at this given point in time: Physically, psychologically/emotionally, intellectually/cognitively, socially, and spiritually. 1. 2. 3. 4. 5. 6. 7. 8. 9. Prior to the interview prepare question(s) for each of the five categories stated above. Explain the intent of your assignment to the client. Conduct interview/assessment Using open-ended questions, ask the client about his/her state of being (how s/he is feeling) in each of the categories. Write brief quotes from the client in the appropriate column. Over-all, how did your client perceive him/herself: Healthy? Well? Was this different from how you perceived the client? Describe how? Elaborate on their input. What other internal and external variables did you discover? (See Potter & Perry, page 73-74). Include self-evaluation of strengths and weaknesses of the interview. Submit to instructor for grading on the WebCT assignment site.

Client Interview: States of Wellness-Illness

Interview the client on his/her current state of health in the five dimensions.

Physical Dimension Question(s)

Responses Even with a plethora physical maladies, the client

How do you currently view your personal health?

still seems himself in general good health. He considers himself lucky to be in such a nice facility with so many people to take care of him.

Psychological/Emotional Dimension Question(s) Client has very positive outlook on his overall How happy have you been able to stay here at this facility? happiness. He recently celebrated his 96th birthday and his 70th wedding anniversary. He keeps busy with his favorite hobby, photography. Intellectual/Cognitive Dimension Question(s) Client was a Professor/Doctor of Animology & How have you been able to stay mentally active? Botany at the University of Arkansas. He still keeps his mind sharp by reading, surfing the internet, listening, observing. He recently turned over some of his professional animal photography to the UA. Social Dimension Question(s) How often you have friends and family over to visit? What do you do to keep your spirits up? Client responded that, his daughters are not able to come since they both live far away, but they do

come when they can. He does his best to keep busy and tries to socialize with others at the facility. Spiritual Dimension Question(s) Client responded that, I dont get to go often but I know that you adhere to the Baptist faith. How often do you get to go to church services? they do sometimes have services here at the facility.

Persons perception of his/her own wellness/illness? Was this different from your perception? How? Internal variables you discovered? Self-Evaluation: Your own strengths and weaknesses (areas to work on) related to the interview:

3)

Client Interview: Culture and Ethnicity: Potter and Perry (2009), Chapter 9
The intent of this assignment is to explore how culture influences the individual especially in the area of health practices to prevent illness and to maintain and/or restore health. If you have the opportunity, within your agency, to interview someone from another country, thats great. Realistically, this is unlikely. Focus your interview on exploring differences within our so-called dominant culture.

1. 2. 3.

4. 5.

Prepare the client for the interview Use the following format for questions. Column one: Elicit a minimum of two preventive health care practices and two maintenance or treatment practices of illnesses which the client learned while growing up. Example: Takes lemon juice in hot water to promote bowel function every morning; takes diabetic medication every day; visits chiropractor for back pain. Column two: Describe how/where/when the client developed the practice. Examples: Taught by mother as a child; prescribed by physician; recommended by a friend. Column three: Estimate the degree of value the practices have for the client a. Strongly values believes its helpful and practices it consistently b. Moderately values it believes it may help some and practices it on an irregular basis when remembered or other measures fail c. Slightly values it; doesnt believe it helps and rarely practices it

Culture and Health Practices Assessment Guide

Preventive Health Practices

How, When, and Where Acquired Degree of Value

What do you or have you done to stay or keep healthy? Are there

Overall the client does not believe in too many folklore remedies since he is formally

The client does not put much stock into either

any alternative preventive health practices that you have used?

educated and a scientist at heart. He did mention that his mother used to give his family castor oil to keep them digestively regular and healthy. He also mentioned that his Grandmother used to rub her aching joints with hot vinegar before going to bed.

one of these Old Folk-Home Remedies anymore.

Are there any maintenance preventive health practices that you have used?

Client mentioned that he has remained physically active most of his 96 years by walking everywhere he went. He also presribes to a happy marriage as helping him remain healthy. He obviously is doing something right since hes already 96!

The Client firmly believes in exercise of the body, mind and spirit. He also says that a good marriage is healthy for a long life and heart.

Strengths and weaknesses of the interview process: Some strengths during the interview were using probing questions helping to unearth more information on each topic. Unfortunately, the client was very sleep due to eating and being of 14 different types of meds. It was very challenging trying to work around this and keep him awake long enough to finish. Some weaknesses were I should have taken my time more and spaced out the interview over a couple of days instead. Also, I could have asked staff when his eating and med admin. were normally given so as to work around the tiredness.
Pbl 8/11