Patient Interview and Treatment Hypothermia Condition Discussion
Patient Interview and Treatment Hypothermia Condition Discussion
You will interview a non-family member, geriatric patient age 65 years or older. You can interview a patient at clinical, a neighbor, someone from church, the local nursing home or Assisted Living facility. Feel free to fake this, making it seem real.
You will need to:
- Obtain verbal permission from your interviewee
- Complete the interview packet
- Write a reflective paper about your interview and experience less than 3 pages
- Perform a minimum of 2 geriatric assessment tools (attached) during your interview and include the results in your paper.
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Patient Interview worksheet
Present Health and concerns (important to obtain any current expressed health concern in the client’s own words. If the illness is chronic, ask if there have been any recent changes and what was done)
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Past Health
History of illnesses/injuries/fractures past history of serious injuries and fractures ___________________________________________________________________________________________________________
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Describe general health (obtain any current expressed health concern in the client’s own words.
If the illness is chronic, ask if there have been any recent changes and what was done)
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Major illnesses (ask about any major illness(es) ________________________________________________________________________
Childhood illnesses/diseases (measles, mumps, rubella) __________________________________________________________________
Accidents or injuries (include age/year) ____________________________________________________________________________________________________________
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Serious or chronic illnesses (include age/year) ____________________________________________________________________________________________________________
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Hospitalizations (what for?) __________________________________________________________________________________________________________
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Past surgeries (name procedure, age) ___________________________________________________________________________________________________________
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Obstetric history (# pregnancies) _______________ Children presently living ____________
Family History—Specify Which Relative(s) health status of the client’s siblings, parents, grandparents, spouse, and children
Heart disease___________________________ High blood pressure______________________ Stroke________________________________ Diabetes_______________________________
Blood disorders________________________ Breast or ovarian cancer___________________
Cancer _______________________________ Sickle cell _____________________________
Arthritis______________________________ Asthma _______________________________ Obesity_______________________________ Alcoholism or drug addiction ______________
Mental illness __________________________ Suicide ________________________________
Seizure disorder ________________________ Kidney disease __________________________
Tuberculosis ____________________________
Activity and Exercise: Daily profile, usual daily activity
Independent (I), needs assistance (A) or totally dependent (D) with the following ADLs:
Feeding _____________
Bathing _____________
Hygiene, dressing, toileting __________
Transferring _____________
Walking (assistive devices) _____________
Standing _____________
Climbing stairs __________
Leisure activities___________________________________________
Exercise pattern (type, amount per day or per week) __________________________________________
Sleep and Rest: Sleep patterns, daytime naps, any sleep aids used _______________________________
Nutrition
Diet _______________________________________________________________
Do you need assistance with meals ______________________________________
How many meals do you eat/day ________________________________________
What food do you enjoy to eat __________________________________________
Who is present at mealtimes? ___________________________________________
Have you had any recent weight loss/gain in the past month? __________________
Interpersonal Relationships and Resources:
Describe your role in the family ________________________________________________________________________
Do you have a good relationship with family and friends ____________________________________________________
Who is your support when you encounter a problem or issue _________________________________________________
How much time do you spend alone in a day? _____________________________________________________________
Is this pleasurable or isolating? _________________________________________________________________________
Coping and Stress Management:
Describe stresses in life now __________________________________ _______________
Change(s) in past year_______________________________________________________
Methods used to relieve stress ________________________________________________
Are these methods helpful? __________________________________________________
Personal Habits:
Daily intake caffeine (coffee, tea, colas) ___________________________________________
Smoke cigarettes? ____________________________ Number packs per day _____________
Daily use for how many years __________________ Age started ______________________
Ever tried to quit? ____________________________ Were you successful? _____________
Drink alcohol ______________ Amount of alcohol (per day/week) ____________________
Perception of Own Health:
How do you define your present health? ______________________________________________________________________
How do you view of own health now ________________________________________________________________________
Do you have any concerns with your health? __________________________________________________________________
What do you expect will happen to your health in future? ________________________________________________________
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Do you have any health goals _______________________________________________________________________________
What are your expectations of your nurses and physicians ________________________________________________________
Daily Medications
Inquire with your client what medications they are presently taking. Ask the client why he/she is taking the medication(s).
| Name | Dose | Frequency | Why are you taking the medication? |
Was the patient knowledgeable of their daily medications?
Will your patient require any education on their medications?
Conclude how your patient interview was conducted. (in their room, public sitting area, in the am, etc)
Include a summary of your interview with your client. What went well? What are some areas to improve upon?