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Saturday, August 17, 2019

Patient Interview Essay

Enable to conduct a study that could represent the population of hypertensive people, the researchers decided to divide themselves into two. This is for the purpose of having participants from two different locations. The first group was designated to obtain three patients from the clinic whereas the second group was assigned to attain at least 2 more patients from the university. The former was able to able to approach ten people hence only a ratio of 1:3 agreed to participate. The latter, on the other hand, manage to found two participants out of the eight people they have approached. Both groups of researchers followed the same approach in inviting their potential participants. Most of the participants were either patients in the clinic or employees of the university. The researchers explain the purpose and format of the interview, the terms of confidentiality, and how long will the intended interviews lasts. After the patient interviewee agreed to participate, they had lead to a less noisy environment within the vicinity of both the clinic and the university. The Patients Patient number 1 is a 63-years old man. His ethnicity falls under the African-American category. He has completed his graduate school and was now a successful businessman. He has been diagnosed to have Diabetes Mellitus two years ago and a known hypertensive at the early age of 36. He is insured under the Health Maintenance Organization or what commonly known as HMO. Patient number 2 is a 47-years old female. She originates from Canada. She’s a high school graduate and was now working as a cashier. She claims she doesn’t have any disease at all. This patient has no insurance of any kind. Patient Number 3 is a 58-years old Chinese Professor. He has recently been diagnosed to have renal problem, which could eventually lead to end-stage renal disease if not properly addressed. He has also mentioned that he has some fluctuating blood pressure readings over the past three years. As for his insurance, he was under Medicare. Patient Number 4 is a 37 years old factory worker from Sweden. He claimed he was a known hypertensive since the age of 30 because of his fondness to eat fatty foods. He doesn’t have any insurance at all. Patient Number 5 is a 70-year old retired engineer, who originates from Australia. Although old, he claimed that he was still in the pink of health except for his arthritis. This patient is insured under HMO, that he says he’s not worried if ever he would have illness in the future. These five patients came from different walks of life. But their knowledge and belief about their condition varies slightly. The study showed that the most prevalent issues among the participants were how they conceive the seriousness of having elevated blood pressure. Most of the participants were unaware of its complications. How can these patients be cured if they haven’t felt the danger it can bring to their lives? The first step to healing any disease state no matter how tough it is; is the knowledge of disease, identifying cause, risk factors of worsening the disease and barriers preventing the cure of the disease (Alexander, 2003). When these patients got to know their real health state, awareness follows. By doing so they can be able to grasp the notion of their actual condition Another issue that surfaced among the participants is the misconceptions they have about the origin and cause of hypertension. Many patients often perceive their illness as a burden they will carry out all their lives and that no matter what they do, they won’t achieve a normal state. This perception affects patients negatively because it impacts on their compliance; these perceptions and feelings make patients lose hope of curing (Ross, 2004). This is not true however, patients with hypertension might have the disease all throughout their lives but it can be kept under controlled. In addition, poor control was due to other lifestyles that patients were practicing (Egan, 2003). So with the right lifestyle, management and compliance, hypertension can stay at bay side for the rest of their lives. For any medical intervention to be effective, trust and communication between the healthcare provider and patients is a vital aspect. The interventions discussed would be very much beneficial to combat the increasing incidence of hypertension among the productive and elderly population. By distributing pamphlets that contained details regarding how to take medicines and obtain blood pressure through the use of blood pressure apparatus, we are escalating their awareness for self-care and evaluation as well. Moreover, thru this dissemination of information we can constitute reinforcement on patient’s education on how to be conscious of their health state. But one aspect should be included in that method. People should be taught regarding the normal blood pressure range and how an increase or decrease of this range can affect their whole being. The most significant contribution of this method is that, not only will it be beneficial to people with hypertension but it can also helps to identify those people who is unaware that they might already be suffering from elevated blood pressure. It is important to note here that educating patients about general knowledge and awareness is not enough to effectively treat or control hypertension. Patients should be thought to recognize and adhere to the importance of following their blood pressure readings daily to well control their state and prevent any worsening that could take place. Focusing on educating patients will for sure prevent the progression to strokes and heart diseases (Oliveria, 2004). As for the implementation of mandatory course, it will also be imperative to have this method of intervention because it can obliterate misconceptions. Many people think that having hypertension is not a serious state. By obligating them to attend courses they can be made aware that hypertension can lead to a more life threatening conditions like strokes and heart attacks. It is true indeed that when patient understands their condition, compliance is better as compared to those who do not have any idea of their real health status. But there is a drawback here; the course should be as simplified as possible. Because illiteracy is increasing worldwide, subsequently many patients won’t be able to understand complicated and technical words. Low literate patients will not be able to fully manage or comprehend medical devices to track of disease progression and prevent worsening of status (Williams, 1998). Keeping a diary of everyday’s intake and activity can lead to a more personal and specialized management. Thus it can lead in identifying what activity or food can be minimized to obtain the necessary result. In general, education brings awareness and can then lead to better compliance.

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