Order type: Essay
Mr Miller, a computer programmer, is a moderately obese 51 year old man with type 2 diabetes, first diagnosed 8 years ago. He is trying to quit his smoking habit of some 30 years. Recently at work they offered him an employer-subsidised treatment with nicotine patches to help him quit smoking. However this had previously failed once before and he was reluctant to take bupropion as it was an antidepressant, a group of drugs which he had concerns about. No diabetes complications have been detected thus far and his blood sugar levels appear well controlled. He does have osteoarthritis that has manifested in both knees (which harbour old sporting injuries). His blood pressure has recently become mildly elevated, averaging 160/94 mmHg during his past two visits. You are aware that Mr Miller regularly searches the internet if he has a health question. You also find out that his wife has encouraged him to take large doses of vitamin E and fish oil for his heart, glucosamine for his knees, and St John’s Wort to help him stop smoking, based on health information gained from their internet searches. While looking at the evidence for blood pressure control you decide to see what you can find on whether these "over the counter" self treatments, reduce the risk for coronary heart disease and if they have any side effects”.
Use the example of Mr Miller or describe another patient to have come across who frequently uses various therapies of unproven efficacy and potentially harmful effects:
• Outline how introduce EBP to a patient and to any significant others of relevance, how to provide advice, and how to approach any potential areas of sensitivity. Explain how to communicate with and work effectively with them to ensure that he/she is able to make informed choices in his/her own health care.
• Develop a care plan for this person, including a list of significant problems, goals and needs. The plan should be patient-centred and include his/her own role in the care.
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