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Question and answer

HA3003: Biopsychosocial Factors: Analyze the impact of biopsychosocial factors and social determinants of health on a patient while conducting a

Instructions

Write your responses where it reads, “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric, which will be used to evaluate your responses.

At the end of the template, you will list the references you used to support your responses.

Scenario: At the insistence of his mother, 13-year old Michael is seeing his pediatrician check a painful wrist injury that is making it difficult for him to complete schoolwork and participate in other activities. Michael is a Hispanic teenager who lives in a low socioeconomic and urban neighborhood. Michael had seen this doctor three months earlier to treat a sinus infection. Since then, he has lost a significant amount of weight. He also appears decidedly more disheveled and sloppily dressed compared to his earlier appointment. As you update his health history, he appears to be sullen and even hostile when replying to your questions. Michael is dismissive of his wrist pain and complains that his mother is making a big deal out of nothing. You also notice that Michael’s mother has extensive bruising on her lower arms. While his wrist problem brought Michael into the office, you are aware that biopsychosocial factors may be impacting his health and well-being—and that a biopsychosocial history is as important as a physical exam.

Respond to the questions below from your perspective as the nurse providing care for this patient. Support your thoughts and ideas with appropriate citations from scholarly references.

Item 1

Explain how the Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety (HEEADSSS) method of interviewing may help to identify biopsychosocial factors to help explain Michael’s health and well-being. Support your responses with appropriate resources. (1-2 paragraphs)

Your Response

The problem which Michael is experiencing is a mental one, and when it is not handled well and in time, it can even lead to a worse situation. For example, he came to the check-up after the mother insisted, which means that he is not himself, and an examination should be done to understand exactly what is wrong with him so that the appropriate solution can be obtained. Since psychosocial history is not available, the condition may not be understood. The HEEADSSS is the antidote to ensure that it helps to understand the condition because it serves as a reminder of the specific area to look for when identifying the source of the problem. The method will help identify the condition because a checklist will be developed, and examination starts from the family to the Safety parameters, and the way the intervention is developed, a solution will obtain (Coleman, 2018). The checklist starts with the home environment, then peers, and so on until the end, with comprehensive questions being asked at each level.

 

Rubric

  0

Not Present

1

Needs Improvement

2

Meets Expectations

Topic 1: Biopsychosocial Factors
Explain how the HEEADSSS method of interviewing may help to identify biopsychosocial factors to help explain a patient’s health and well-being

 

 

LO1: Explain how the HEEADSSS assessment helps in identifying biopsychosocial factors impacting health and well-being.

Response is missing. Response is vague, inaccurate, or incomplete. Response is clear, accurate, and complete.

 

 

 

Item 2

Using biopsychosocial factors, write two questions that you would ask an adolescent patient suspected of drug or alcohol abuse. Provide a rationale for each question.  (1-2 paragraphs)

 

Your Response

Has anyone in your family or at school ever thought or asked you whether you had a problem with Alcohol or Other Drugs?

Do you use Alcohol or Other Drugs by yourself when you are alone?

The rationale behind the first question is to create grounds for asking whether the adolescent use the drug or not, if a person is guilty and uses it, he will suspect that other people are complaining and will, therefore, respond positively. Depending on the answer to the first question, the second question is set, which ensures that it confirms what they have confirmed in the first question. If the answer to the first question is yes, there is a high chance that the second question will also have a, yes, and the nurse will have an easy time to admit the next dosage of behavioral change techniques. When developing a health history, specific questions should be asked so that they can lead to a more specific response.

Rubric

  0

Not Present

1

Needs Improvement

2

Meets Expectations

Topic 1: Biopsychosocial Factors
Write two questions that you would ask an adolescent patient suspected of drug or alcohol abuse.

 

LO2: Create screening questions appropriate for suspected adolescent substance abuse.

Response is missing. Response is vague, inaccurate, or incomplete. Response is clear, accurate, and complete.
Provide a rationale for screening questions used while conducting a health history.

 

LO3: Justify the use of specific screening questions when conducting a health history.

Response is missing Response is vague, inaccurate, or incomplete. Response is clear, accurate, and complete.

Item 3

Describe one screening instrument that you might use to help identify adolescent alcohol abuse. Justify the use of this screening instrument in this situation. Support your response with appropriate resources. (1-2 paragraphs)

Your Response

CRAFFT screening interview is the instrument that I will use to find out whether Michal is into drug use for proper counseling. The instrument has a very positive disclaimer, which makes the adolescent feel at ease. The equipment requires that the person begins with a statement to assure the adolescent that the questions he will asks are asked all the patients who come for the purpose of treatment and are never meant to intimidate him, further, the adolescent will be assured confidentiality of all the information asked (Coleman, 2018). This screening method is the best in the case of Michael because he is hostile, and the hostility must be reduced by such a disclaimer.

Rubric

  0

Not Present

1

Needs Improvement

2

Meets Expectations

Topic 1: Biopsychosocial Factors
Describe one screening instrument that you might use to help identify adolescent alcohol abuse.

 

LO4: Describe screening instruments for adolescent alcohol abuse.

 

Response is missing. Response is vague, inaccurate, or incomplete. Response is clear, accurate, and complete.
Justify the use of a specific screening instrument for adolescent alcohol abuse. 

 

 

LO5: Defend the choice of screening instruments to help identify adolescent alcohol abuse.

Response is missing. Response is vague, inaccurate, or incomplete. Response is clear, accurate, and complete.

References

Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M. E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a social determinant of health. Annual review of public health, 36, 375-392.

Coleman, L. (2018). Evaluation of the CRAFFT Substance Use Screening Tool in Primary Care.

Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020. Healthy People 2020: An Opportunity to Address the Societal Determinants of Health in the United States. July 26, 2010. Available from: http://www.healthypeople.gov/2010/hp2020/advisory/SocietalDeterminantsHealth.htm

Spector, A., Hebditch, M., Stoner, C. R., & Gibbor, L. (2016). A biopsychosocial vignette for case conceptualization in dementia (VIG-Dem): development and pilot study. International psychogeriatrics, 28(9), 1471-1480.

Thornton, R. L., Glover, C. M., Cené, C. W., Glik, D. C., Henderson, J. A., & Williams, D. R. (2016). Evaluating strategies for reducing health disparities by addressing the social determinants of health. Health Affairs, 35(8), 1416-1423.

 

 

 

Mastery Rubric

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