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Michael Knight is a 48 year old white male with a past medical history for chronic kidney disease, h

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Asked by sweetysandy

Michael Knight is a 48 year old white male with a past medical history for chronic kidney disease, hypertension, uncontrolled, diabetes mellitus, COPD and chronic pain, who presents in office today complaining about shortness of breath that he states has been present off and on for a few days. He states that he uses his inhaler occasionally. He denies cough, chest, fever, fatigue, change in appetite. He lives with his family, works construction periodically when he is able to find work. He smokes cigarettes and occasionally, marijuana. He denies illicit drug and alcohol abuse.

While reviewing his chart you note that he does not consistently visit the provider as scheduled and attempt to talk with him crosses him arm and states “it does not matter, no one ever listens to me anyway.”

 

What communication skills are necessary at this time to communicate with this patient?
What things can you do to help the client feel more comfortable when you are talking with him during this encounter?
What would you do to help patient work on following up with visits more consistently?

pls add references

 

course book

Bates’ Guide To Physical Examination and History Taking by Lynn S. Bickley

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 706

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