Health Assessment and Complex Care

Question: Discuss about the Health Assessment and Complex Care. Answer: Introduction: As a healthcare provider, I have no choice over the kind of patients whom I serve. Each and every day, I encounter different kinds of patients with all sorts of illnesses. Whereas others have simple cases, others come to me with quite complex cases that require lots of keenness and professionalism (DiCenso, Cullum Ciliska 2011). One complex case I would like to discuss in this paper is that of Joseph Middleton. Middleton is a 59-year old man who lives with his wife Jane and two sons aged 29 and 16. He patient came to the hospital because he had been diagnosed with Sleep opnoea, Obesity Ventilation Syndrome, ventilation obesity, and type 2 Diabetes. Although Middleton is the breadwinner, he lost his job 9 months ago because of his employer was not pleased with his obese condition. Currently, the patient is depressed because he has failed to get other employment opportunities. He has also developed antisocial behaviors because he is ashamed of his weight. From these observations, it was ascertained that the Middleton was indeed a multimorbid patient who was suffering from different chronic illnesses. Therefore, to attend to him, a care plan was developed. However, for effective and satisfactory service delivery, it was necessary to assess the patient ascertain the degree of his needs and attend to them in order of preference. Meaning, the care provision was prioritized beginning from the most pressing to the least pressing need. Prioritization is recommended is a recommended strategy in healthcare because it can benefit the patient in many ways (Beverly 2014). First, it can assist in a proper and fair utilization of the resources. Healthcare sector has limited resources that should be sparingly utilized. Secondly, prioritization had to be applied because it enabled the healthcare providers to provide holistic and satisfactory care to the patient. The first decision made was to treat the patients obese condition. Obesity was a major issue of concern that needed to be addressed because it had troubled the patient for a very long time. As already highlighted, the patient has been experiencing significant weight gain for the past 1 year. Currently, he has a MBI of 58 m2, thanks to his Obesity Ventilation Syndrome, ventilation obesity conditions. Therefore, to address this case, the patient was given a therapy on obesity management skills entailing physical activity and diet management (Bray Popkin 2014). The second area addressed was diabetes type 2 that has been making the patient to be uncomfortable. Finally, the patient was given a treatment for High Blood Pressure. The rationale for prioritizing obesity, diabetes type 2, High Blood Pressure and depression is because they are the pressing needs that need to be addressed. Obesity, for instance, has precipitated the patients depressive conditions (Barlow 2012). The patient was laid-off because of his weight. Besides, many employers have refused to recruit him because his obese condition is undesirable for the kind of job he does (Bogner, et al. 2016). The treatment of these conditions enabled the patient to improve his conditions and lead a healthy stress-free life. References Barlow, D., 2012, The Oxford Handbook of Clinical Psychology. New York: Oxford University Press. Beverly, E. A., 2014, Stressing the Importance of Diabetes Distress: a Comment on Baek et al. Annals of Behavioral Medicine, 48(2), 137-139. Bogner, H.R., et al., 2016, Does a Depression Management Program Decrease Mortality in Older Adults with Specific Medical Conditions in Primary Care? An Exploratory Analysis. Journal of the American Geriatrics Society, 64(1), pp.126-131. Bray, G. A., Popkin, B. M., 2014, Dietary sugar and body weight: Have we reached a crisis in the epidemic of obesity and diabetes? Diabetes care, 37(4), 950-956. DiCenso, A.; Cullum, N. Ciliska, D., 2011, Implementing evidence-based nursing: some misconceptions. Evidence Based Nursing 1 (2): 3840. doi:10.1136/ebn.1.2.38.