The Health History of a Patient - Free Essay Example

The Complete Health History Virginia G Parrott Fort Hays State University Health History Health history assessment conducted on George on the fifteen of February 2010 at approximately one o’clock. George is a fifty-four year white male married with three adult children and two grand children. He has been working as a teacher for over twenty years a local middle school. This paper will highlight George’s health care issues and will identify five nursing diagnosis for him. Methods of Health History Interview Methods Informed consent obtained and applied the principled of privacy and confidentiality in the interview. Some communication skills used the interview such as touching, giving instruction, using a normal voice, leaning the body forward, introduction of self, paraphrasing, reflection and summarizing. Closed-ended questions like â€Å" are you ready? ’ or facilitation questions which allow George to further give details on how he was diagnose after his fa ther became gravely ill, which allowed communication to remain therapeutic. Jarvis state that the nurse brings knowledge from the physical, biological and social sciences to the assessment. This knowledge enable the nurse to ask relevant questions and collect relevant physical assessment data related to the client’s expectation of care and underlying health care needs. Clarification questions are significant especially in George’s case where he admits to not being complaint in medication and lifestyle over the last five years. Silent would be appropriate at this time, allowing George to therapeutic communicated. Jarvis mention that respect for a person means treating patients as people with rights. It means respecting an individual‘s autonomy, protecting, and the ensuring duty of truthful. Open-ended question offers George the opportunity to express what was difficult about being complaint with his medications. Listening and being attentive to the personal information he was sharing during the assessment . While carefully observing George‘s non verbal communication. George did not appear to be defensive to any of the question and did not receive any non-therapeutic feedback Health History George states he been healthy most of this life and then approximate five years ago, he was diagnose with coronary artery disease and non-insulin depend diabetic, hypertension, hypercholesterolemia, gout, and GERD in 2000. George had an angioplasty with one vascular stent to the lateral anterior diagonal and one vascular stent to the circumflex in 2005, angioplasty with vascular stent to the right coronary artery in 2008, angioplasty with re-vascular stenting the lateral anterior diagonal and one vascular stent to the distal circumflex in 2009. He also transition to being a insulin dependent diabetic in 2009 and has coronary by-pass graft (CABG) surgery. His surgical history was cholecystectomy in 2007, right knee surgery in 1993, and CABG t ime five in 2009. He is an ex-smoker who stopped after his CABG in September 2009, 10/day for 30-40 years. His current medication included Metoprolol 25 m BID, Simavastatin 40 mg daily, Lisinopril 5 mg daily, Coreg 12. 5 mg daily, Cymbalta 60 mg daily, Metanx tables daily, Novo Log 200units daily, Lantus 160 units daily. George has no known allergic and last examination was with his cardiologist February 4, 2010. George’s Family History His family history reveals that is father and father’s mother had coronary artery disease. His mother is a diabetic and her mother died of a cerebral vascular accident at the aged of seventy-six. His father passed away at eighty-four years of aged and his mother died at the age of eighty-five. His sister at the aged of fifth-five has hypertension. Nursing Diagnosis Caregiver Role Strain risk for relate to unpredicted illness. Health teaching will be providing information on disease process and management strategies. Encourage care giver to set aside time for himself. This could be as simple as a relaxing bath, a time to read a book, going out with friends. Acknowledge to caregiver the role he is carrying out and its value. Teach caregiver to identify how important it is to feel appreciated for their efforts. Encourage care recipient to thank caregiver for care given. Provide time for caregiver to discuss problems, concerns, and feelings. Ask caregiver how he is managing, Inquire about caregiver’s health. Refer to social worker for referral for community resources and/or financial aid, if needed. Cardiac Output, decreased. Health Teaching will cover the administer medication as prescribed. Explain symptoms and interventions for decreased cardiac output related to etiological factors. Explain drug regimen, purpose, dose, and side effects. Explain progressive activity schedule and signs of overexertion. Explain diet restrictions (fluid, sodium). Follow up with Dr Farhoud, cardiologist as direct or n eeded. Pain Chronic related to impaired comfort. Health teaching will be providing teaching on neuropathy and medication as directed. Teaching about using no pharmacological pain management strategies for example:Cold/heat applications, progressive, relaxation, imagery, and music. Teach the patient and family about the use of pharmacological interventions for pain management. Follow up with Dr Guthrie, endocrinologist, as directed or as needed. Interrupted family Processes related factors: illness of family member. Health Teaching will be providing opportunities to express concerns, fears, expectations, or questions. Encourage family members to seek information and resources that increase coping skills. Assist family in breaking down problems into manageable parts. Assist with problem-solving process, with delineated responsibilities and follow-through. Identify community resources that may be helpful in dealing with particular situations (e. g. , telephone hotlines, self-help gr oups, educational opportunities, social service agencies, and counseling centers). Health –Seeking Behaviors Health teaching in assisting the patient in developing a self-contract to enhance the patient control over behavior and sense of competence. Allow periodic evaluation, feedback, and revision of health plan as necessary. Reward positive efforts and achievement. Guide the patient in setting realistic goals. Prepare for lapses and relapses . Learn relaxation techniques to reduce urge (e. g. , make self-limp, visualize a soothing, pleasing situation). Breathing exercises help release tension and overcome the urge to smoke. Seek social support. Refer patient to self-help groups as appropriate. Conclusions: The interview results to indentify five nursing diagnosis and health teaching. It indicated that people do have physical and psychological changes; with medical problems. George has declared that after the CBAG that he is fortunate to get a second chance. He has qui t smoking and has been extremely obedience with his self-care behaviors. He will continue to seeking medical advice from all his physicians. He has been more accountability and conscious of his health care needs and issues.

The Brand Managers Guide to Brand Extension

Your brand is one of your company's most powerful assets. It encapsulates everything you want people to know about the business—what you value, what you stand for, and what you're trying to do. Related: 6 important branding tips to keep in mind when going global Which is why brand extension can be such a stressful process. Using the strength of your brand to enter a new market gives you a headstart that new companies can't match. Understanding how to extend your brand is crucial for engaging markets. Before you launch a new product or adopt a new strategy, you'll need to think about a few things. Before we get into those things, though, let's agree on a brand extension definition. What is brand extension? Brand extension is the use of an existing brand name and logo on a new product. The original brand is called the parent brand, and the new products are called spin-offs. Companies use this strategy to capitalize on the brand equity of their existing brand to launch new products and enter new markets. Let's look at Apple. For 25 years, the company built personal computers. And they were good at it. That's what they were known for—powerful, attractive computers that were easy to use. And then they entered an entirely new industry: personal music devices. The iPod was an immediate and immense success. We'll talk about how Apple pulled this off in a bit. First, let's talk about why it was a good idea. Why brand extension is so powerful Apple had built a very strong brand over 25 years of making personal computers. Why would they risk diluting that brand by entering a new industry? The stakes are high, and the chance of failure keeps many business owners from even considering a big move like this one. But Apple knew that building on their brand would be immeasurably valuable if they did it right. Companies spend years and millions of dollars solidifying their brand. Marketing campaigns, social media interactions, advertising, public relations, and product development all contribute to a brand's strength. Why? Because consumers recognize and value brands. People are more likely to buy products from brands they know, whether they feel explicit brand loyalty or not. This type of brand recognition means that the presence of a strong parent brand—like Apple—can significantly boost the sales of new products. Introducing a completely new product is hard. It's much easier when that product is backed by a recognizable brand. But sometimes his type of thinking can get companies into trouble. Where brand extension goes wrong Not every brand extension builds on a strong brand to create huge sales. Let's look at an entertaining brand extension failure: Zippo Fragrances. Zippo is a very strong brand in the world of cigarette lighters. Their name, design, and even the sound of the product is very distinctive. If you see a Zippo, you know it. Can you name another brand of non-disposable lighter? Probably not. This is a strong brand. Zippo wanted to use their brand equity to enter a new field. Why they picked perfumery is anyone's guess. The company actually used some good brand extension tactics. They kept the brand name and even used their distinctive lighter design for the perfume and cologne bottles. But absolutely no one thinks of Zippo when they think of perfumery. Instead of seeing the brand and thinking, "I trust Zippo," people think "Why would Zippo make a cologne?" That's a failed brand extension. Zippo missed a crucial ingredient of the brand extension recipe. How to get it right If you're thinking about extending your brand, it's worth looking at some recent successes. Look at Tesla's expansion into trucking, for example. O, Oprah Winfrey's magazine. Tootsie Pops. Virgin Airlines (and dozens of other Virgin-branded forays). What do these brand extensions have in common? Above all, they play to the parent brand's strengths. Tesla already knows how to build great vehicles. Oprah knows how to tell stories that capture the hearts and minds of her audience. Tootsie Roll knows how to make a candy that people love. Virgin knows customer service better than almost anyone. Successful brand extension strategies place the new product as a logical extension of previous ones. That's why Zippo perfume isn't a household name. Everyone knows Zippo for their lighters. Their brand equity didn't transfer to their beauty products. Apple knew their brand equity would transfer to the iPod because their brand was already adjacent to the music device industry. Be careful with brand extensions to reap their rewards Brand extensions can be hugely valuable. But when used without enough forethought, they can also be disastrous. It's crucial to give any potential brand extension a great deal of thought. If you do decide to extend your brand, make sure to apply your branding consistently to take advantage of the loyalty that you've been building for years. Don't be like Zippo. Be like Apple. How can brands stay competitive in today's design-centric world? Explore the rise of the design democracy, then learn how your organization can ride it to the top.