Shadow Health Assignments
John Green, 33 year-old Caucasian male
CASE STUDY 1
John Green, 33 year-old Caucasian male, presents to the office to establish as a new patient. John’s natal sex is female but he identifies as a male. He transitioned from female to male 2 years ago. He has made a full transition with family and socially last year. He just moved back home and is unemployed at this time. He has been obtaining testosterone from the internet to give to himself. He has not had any health care since he decided to change other than getting his suppression medications through Telehealth 3 months ago. His past medical history includes smoking 2 packages of cigarettes per day for the last 10 years, smokes 3-6 marijuana joints every weekend (has an active green card), and does suffer from depression episodes. He is HIV positive for the last 3 years but remains virally suppressed at his last blood draw 6 months ago. He has been feeling very weak over the last few weeks which prompted him to move back home with his parents. He takes Biktarvy once daily that comes in the mail for free, tolerates it well, and 100 mg Testosterone IM every 7 days. His PMH is non-contributory. No past medical history. He has never been married. No significant family history. He is worried since moving back home and unemployed he will be a burden on his family, and he thinks his health may be declining.
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BY DAY 3 OF WEEK 2
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks
BY DAY 6 OF WEEK 2
Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
Title: Case Study – Understanding a Patient’s Health History and Sensitivity
Introduction:
In this case study, we will learn about John Green, a 33-year-old Caucasian man. He identifies as male, although he was assigned female at birth. We will explore his situation, health history, and the factors that play a role in his life. Additionally, we will discuss how to be sensitive when interacting with him and provide questions to understand his health better.
Patient Background:
Meet John Green, a 33-year-old Caucasian man who transitioned from being female to male two years ago. He has successfully completed his transition both in terms of his family and social life. Currently, he is living at home and is unemployed. He obtains testosterone from the internet and administers it himself. He receives his medication for suppressing his condition through Telehealth. John’s history includes smoking heavily and using marijuana occasionally. He also experiences episodes of depression. He has been HIV positive for the last three years, but his latest blood test showed that the virus is under control. Lately, he has been feeling weak and has moved back in with his parents. He takes his medication, Biktarvy, regularly and also self-administers 100 mg Testosterone injections every week.
Sensitivity and Understanding:
When interacting with John, it’s important to be sensitive to his gender identity, his struggles with unemployment, his HIV status, and his emotional well-being. Creating a safe and comfortable environment for him to discuss his concerns is crucial.
Targeted Questions:
1. How has your transition process been since you decided to identify as male?
2. Can you share more about your experiences with self-administering testosterone and its effects?
3. How do you manage your HIV medication, and have you faced any challenges?
4. How does smoking and occasional marijuana use affect your daily life and emotions?
5. Could you describe your experiences with depression episodes and how they impact you?
Conclusion:
Understanding John’s situation requires sensitivity and respect for his identity and struggles. Building trust and open communication can help gather essential health information and offer support.
References:
(References are not provided in the original text.)
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