NUR 210 Health Assessment: Denzel Kinsale

NUR 210 Health Assessment: Denzel Kinsale

Case Study

Denzel, age 12, has been experiencing shortness of breath playing soccer.   He is being seen today for evaluation of his symptoms. As part of a complete health history, the following was revealed.

  • His father, Larry Kinsale, age 43, is lactose intolerant, has smoked 2 packs a day for 20 years, and is hypertensive.
  • His mother, Janelle Kinsale, age 41, is obese with a body mass index of 35.
  • His sister, Lorel Kinsale, age 16 has no prior medical problems.
  • His brother, Greg Kinsale, age 13, is struggling with issues surrounding his sexual orientation.
  • The maternal grandmother, Mrs. Rose Franklin, age 81, has diabetes and the maternal grandfather, Mr. Leo Franklin, age 83, is forgetful.
  • The paternal grandmother, Mrs. Luanne Kinsale, age 71, is in good health.
  • The paternal grandfather, Mr. Carl Kinsale, age 70, was recently diagnosed with lung cancer.
  • The paternal uncle, David Kinsale, age 38, has a long history of alcohol and drug abuse.
  • The paternal uncle, Robert Kinsale, age 40, is in good health.

Discussion:

  1. You are performing a health assessment on Denzel. What would your approach be to learn more about his shortness of breath? Identify at least 3 strategies that would provide additional information regarding Denzel’s condition.

 

  1. Identify at least 3 specific person-centered communication techniques that would foster disclosure. Include verbal and nonverbal behaviors. (Use the person-centered communication that was used when completing the Health History in Lab 1).
  1. Identify at least 3 specific techniques that would interfere with disclosure.

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