A. Introduction:
Acquisition of accurate history is the crucial first step in determining the etiology of a patient illness. So, one of the most important thing to reach a suitable treatment is a good medical history. The good relationship between the patient and physician can facilitate the process of obtaining a medical history. medical history is an information obtained from the patient about his illness to aid in establishing a medical diagnosis and developing a suitable treatment plan.
B. Background and History:
When I went to the hospital the coordinator told me to go to the GIT department, I have been interviewing Mr. Abdulmohsen. He is Saudi, sixty-five years old male, married retired who has a history of irritable bowel syndrome.
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he has an allergy of spicy food and he does not have any allergy from any drugs.
Family history: his father is dead while mother still alive. his mother had diabetes, hypertension and hyperlipidemia. he has three daughters and one son. All of his daughters and son does not complain of any chronic diseases. And also his brothers and sisters does not complain of any chronic diseases. one of his cousin is complain of heart attack and died after a couple of years.
Social history:
His relationship with his family and his colleagues at work is very good and there is no effect of the disease on his life.
The habits and
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The major common symptoms of the IBS are: abdominal pain, diarrhea, constipation, and flatulence. In addition to the main symptoms, some people with IBS experience several other sings. These can include a lack of energy, feeling sick, backache, and bladder problems.
Many people have occasional signs and symptoms of IBS, but they are more usually to have IBS if they: are young because the IBS tends to occur in people under age 45, are female, have a family history of IBS, and Have a mental health problem.
Causes:
It's not known exactly what are the causes of the IBS but a different of factors play a major role in the development of the IBS. The walls of both small and large intestines are lined with layers of muscle that relax and contract in an arranged rhythm as the food move from the stomach through the intestinal tract to the rectum. In the case of the IBS, the contractions may be stronger and last longer than normal. On the contrary, with weak intestinal contractions slowing food passage and leading to hard, and dry
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
The contributions of several doctors, researchers, and scientists helped improve the health of the growing population. In 1850 the average life expectancy was 42 years. By 1910 the average life expectancy had risen to nearly 55 years. Between 1850 and 1910 there were several advances in the medical field. The introduction of genes, white blood cells, blood groups, insulin, rubber gloves, aspirin, and vitamins and the discoveries of Pasteur, Charcot, Halsted, Zirm, Lister, and Koch were the starting point of an international fight against disease.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Many pivotal events over the last century have brought our healthcare system to where it is today. Some were indirect, such as World War II (and how it led to direct events such as medical advances that shifted focus from critical care and managing contagion to preventive medicine and health insurance as an employee benefit) and the internet (which has provided a wealth of tools and resources that were once only available to healthcare providers and has served to foster technological advancements such as Electronic Health Records and telemedicine). Others were targeted interventions, such as the Hill-Burton Act, which was enacted in 1946 and provided infrastructure dollars to healthcare facilities that agreed to provide a significant volume of free or reduced cost services to those with limited ability to pay (HRSA, 2014). Perhaps the most influential targeted event was the passage of Medicare and Medicaid programs, which was the point at which the government became the administrator for insurance programs for the poor, creating a system that would continuously grow and impact service delivery through regulatory control.
in the first place and was suffering from other major illnesses. The society does not
One very special case can be displayed by none other than David Beckham, the famous international football star. He says that he has tried various treatments, but the biggest success came from learning to live with the disease (Healthguru, n.d.). His family is also very supportive of his condition, which shows how important family support is. Quoted by Victoria Beckham, his wife, “We've got three fridges - food in one, salad in another and drinks in the third. In the drinks one, everything is symmetrical. If there's three cans, he'll throw one away because it has to be an even number” (Frith,
The main causes of GERD occur because your lower esophageal sphincter (LES), or the sphincter that closes off the esophagus to the stomach becomes weakened or stops functioning correctly. Scientist are finding that different nutrition habits affect the workings of the LES. Things like dietary supplements, drugs, or anything containing caffeine will actually cause the malfunction of the LES.
Although no definite cause for IBS has been identified, people who are most likely to be affected are females, 20-30 years old, and have a family history of the disease. Certain foods, hormones and stress can trigger irregular contractions of the intestines leading to unpleasant ...
A family medical history can reveal the history of disease in your family and allow you to identify patterns that might be relevant to your own health. These conditions are influenced by a combination of genetic factors, environmental conditions and lifestyle choices. It is impossible to change family history or genes, however knowing that certain diseases run in your family can be an incentive to decrease any other factors that when put together, further increase the risk.
will not show effects until old age, he will need information from his biological parents. In
As a result, I always felt that I am actively participating in patients’ care. She allowed me to perform patient examinations most of the time and encouraged me to build up a good rapport with the patients. I think my past experience and medical knowledge was helped me lot during the history taking because I was able to go through history taking in a systematic manner and at the same time I could think of possible differential diagnosis. Furthermore, working in a medical clinic as a physician assistant also helped me a lot because one of the responsibilities delegated to me is taking patients history, however, this time it was different that I had to work out and actively think about a possible cause for patient concerns. The weakness I observe during history taking was sometimes I am little quick that might hurt the doctor-patient relationship, So, I am planning to improve my listening skill with less interruption to patients, I believe that might help the patient to express their concerns freely. Also, I am determined to listen to patients concerns in a non- judgemental manner to get the unbiased clinical
The first part of the history-taking process is creating an appropriate environment. Ideally, the interview takes place in an area that is safe, accessible, and free from distractions and interruptions. During this initial process, the interviewer introduces themselves and states their purpose and obtains consent to proceed with the health history interview. Additionally, the initial part of the interview is the time to establish the patient’s identity, age, and preferred way of being addressed. A relationship built on trust and respect for the patient’s privacy is necessary to developing a good rapport. It is important to remain unbiased and professional and furthermore, to treat the client with dignity. After introductions are made, the patient should be given time to tell their story in their own words. Active listening is a must during this interaction and involves both verba...
Inflammatory bowel disease is a life long disease, and it particularly targets the gastrointestinal tract (GI tract), which consists of the mouth, esophagus, stomach small intestine, large intestine (appendix, cecum, colon (ascending, transverse, descending, and sigmoid), and rectum), and anus. The gastrointestinal tract is very important to the human body; some of its functions include mechanical and chemical digestion of food, the movement of food and waste from mouth to anus, secretion of enzymes and mucus, and the absorption of nutrients. These are some reason why it’s so destructive when this part of the body becomes impaired or even damaged.
In our case, the patient is Sean, a 36-year-old who runs his own IT business. He is single and has a distant relationship with his parents and sister. The patient had a good relationship with his grandparents. His grandfather died when Sean was 23 and his grandmother has been recently diagnosed with a terminal illness. Sean has been experiencing low mood, irritability, weight gain, sleep disturbance and fatigue. The symptoms were present for more than 6 months. He has been prescribed Citalopram 40mg but his symptoms have not improved. He has a BDI-2 score of 27, HADS anxiety of 10 and HADS depression of 15. He describes himself as mildly depressed. His goal seems to be improving his situation and returning to
...rmonal changes can play a high role in IBS. Most people who have IBS got it before the age of 35 and also most people have a family history of it.