Cultural, Spiritual, Nutritional, & Mental Health Disorders
\nChief Complaint
\n(CC) :\u201cAnnual physical exam\u201d
\nHistory of Present Illness (HPI)
\n23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking \u201cpot\u201d and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle.
\nDrug Hx :Current Meds: denied
\nAllergies: No allergies to food or medications.
\nFamily Hx: He has a family history of diabetes, hypertension, and alcoholism.
\nReview of Systems (ROS)
\nGeneral: No recent weight gains of losses, fatigue, fever, or chills.
\nCV: no chest discomfort or palpitations
\nIntegument: history of eczema \u2013 not active
\nMS\/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements
\nObjective Data
\nPE: B\/P 158\/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6
\nGeneral: 23-year-old male appears well developed and well-nourished. He is anxious \u2013 pacing in the room and fidgeting, but in no acute distress.
\nHEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition \u2013 multiple carries.
\nLung: CTA AP&L
\nCard: S1S2, +II\/VI holosystolic murmur; without rub or gallop
\nAbd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.
\nExt: no cyanosis, clubbing or edema
\nSkin: intact without lesions masses or rashes.
\nNeuro: No obvious deficits and CN grossly intact II-XI
\nOnce you received your case number, answer the following questions:
\n1.\tDiscuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
\n2.\tUtilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
\n3.\tDiscuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?<\/p>\n
Submission Instructions:
\n\u2022\tYour initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.
\n—
\nSpecific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient in this case may include the patient’s Native American heritage and the potential impact that this may have on his understanding of healthcare and treatment options. Native Americans have historically been subject to systemic discrimination and marginalization, which can lead to distrust of Western medicine and a preference for traditional healing practices. Additionally, the patient’s reported use of marijuana and alcohol as coping mechanisms for his anxiety may indicate a lack of access to or familiarity with other forms of mental health treatment. Furthermore, patient’s history of hypertension and diabetes in the family, which are common among Native American population.
\nIn conducting a comprehensive nutritional assessment, I would utilize the following five assessment domains:
\nAnthropometric measurements: This includes measurements such as weight, height, and body mass index (BMI) to assess the patient’s overall nutritional status.
\nBiochemical measurements: This includes blood tests such as serum albumin and hemoglobin to assess the patient’s nutrient status and overall health.
\nClinical examination: This includes assessing the patient’s physical appearance, including signs of wasting or edema, as well as any signs of nutrient deficiencies or excesses.
\nDietary assessment: This includes assessing the patient’s current dietary intake and patterns, including the types and quantities of foods they consume, as well as any cultural or religious food restrictions.
\nPsychological and social assessment: This includes assessing the patient’s mental and emotional well-being, including their stress levels and social support system, which can impact their ability to maintain a healthy diet.
\nThe functional anatomy and psychiatry of a psychiatric mental health patient involve understanding the complex interactions between the brain, nervous system, and other bodily systems in the development and manifestation of mental illness. Key concepts that a nurse must know in order to assess specific functions include understanding the different types of mental illnesses and their symptoms, as well as the various pharmacological and non-pharmacological treatment options available. Additionally, understanding the patient’s overall medical history, including any co-occurring physical health conditions, and their social and cultural context can provide important insight into the patient’s mental health status. The nurse should be aware of the patient’s perspective, feelings, and beliefs to provide a holistic care.<\/p>\n","protected":false},"excerpt":{"rendered":"
Cultural, Spiritual, Nutritional, & Mental Health Disorders Chief Complaint (CC) :\u201cAnnual physical exam\u201d History of Present Illness (HPI) 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking \u201cpot\u201d and says he drinks to help him too. He tells you […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[405],"tags":[571,569,149,568,570],"class_list":["post-1160","post","type-post","status-publish","format-standard","hentry","category-soap-note-assignment-help","tag-amp-mental-health-disorders","tag-cultural","tag-nursing-essay-writers","tag-nutritional","tag-spiritual"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/1160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/comments?post=1160"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/1160\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/media?parent=1160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/categories?post=1160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/tags?post=1160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}