PRIMARY CARE

Post is of three assignments

1:PRIMARY CARE

Order Description

A fictional client. Marcos is a Hispanic male, 60 years-old and divorced. He recently retired due to a medical condition. A year ago he was diagnosed with diabetes and he has not been able to control his sugar levels since his initial diagnosis. Marcos lives alone and tends to forget to take his medication, he also does not follow his diet as he hates cooking for himself.

Marcos came to see his primary care physician as he has been noticing changes in his sight. He had an optometrist appointment more than a month ago and they have told him that he is loosing his sight due to his uncontrolled diabetes.

While attending his PCP appointment, his doctor provided a warm-hand-off to the newly hired BHC. After assessing the patient, the BHC used motivational interviewing to assess the patient and to learn more about his motivation or lack of to control his diabetes and the reasons for not regularly taking his medication.

As this was the initial meeting with Marcos, the BHC started with the following stage to find out what motivates Marcos and to learn a little about his story and see his life through his eyes, (Rollnick et al., 2008, p. 14). After listening to Marcos for a little while, the BHC changed from following to the inform and guide stage to educate Marcos about his diagnosis. Apart from using motivational interviewing skills and informing and guiding, the BHC used acceptance and commitment therapy to assist Marcos to agree to live a meaningful life, (Robinson & Reiter, 2015, p. 127).

Together, Marcos and the BHC, drafted some goals for the next month. Marcos will purchase a medication dispenser that will help him remember what and when he has to take his pills. Marcos will take his medication as indicated by the physician every day for the next four weeks. Additionally, Marcos will go grocery shopping every Sunday for fresh fruits and vegetables. Every Monday, Wednesday and Friday, Marcos will cook chicken avoiding frying it. Tuesday and Thursday, Marcos will choose to cook from beef or pork. Marcos will have free days during the weekend to eat what he chooses. Apart from trying to cook meals at home during the week, Marcos will walk 15 min. after dinner every night around his neighborhood.

The main challenge that the BHC faces with Marcos is that he does not have a good support system that can assist him to keep motivated to make the dietary changes he needs. Since he has not taken care of himself from the time he was diagnosed with diabetes, his condition is very advanced and he is at high risk of loosing his sight.

Reference:

Rollnick, S., Miller, W. R., & Butler, C. (2008). Motivational interviewing in health care: Helping patients change behavior. New York: Guilford Press.

Robinson, P. J., & Reiter, J. T. (2015). Behavioral consultation and primary care: A guide to integrating services. New York, NY: Springer.

2:PICOT questions

Order Description

Review the PICOT article “Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice” along with the “Chapter 18: Using Research in Evidence-Based Nursing Practice” PowerPoint resource.
https://lopes.idm.oclc.org/login?url=https://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&D=ovft&PDF=y
The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed in Topics 1-4.
Write a PICOT statement in an area of interest to you, which is applicable to your proposed capstone project.
APA format is not required, but solid academic writing is expected.

3: The leadership of change requires that the rational and emotional case be made together. Leaders should engage the hearts as well as the minds of employees, making them feel as if they’re part of something consequential.

Order Description

1. What is the current view of your topic (practice)? What does current research (theory) say about your topic?
2. Critically analyse complex business-related knowledge and practice from both historical and recent perspectives

leadership