His blood pressure was 150/98.
Mentally the patient was disturbed by symptoms of disease that he had been experiencing for along time. He was also very stressed at work due to a busy schedule and had resulted to excessive drinking to address his mental problems. He is also disturbed by the fact the he cannot stop smoking. He is chain smoker.
Socially the patient was stable as he showed that he integrated with people at the place of work and outside the work place. Being a manager, the patient interacted with a lot of people. He did no show any signs of social problems. He is a member of two social clubs.
In the context of the society, the patient has a stable social life. He is contented with the position he holds in the society being a manager. His relationship with other societal members is also very stable.
Using the Orem Model of nursing if assessed Mr. Parker to get more information about the development of type II diabetes. Using the following interpersonal skills, I was able to assess Mr. Parker further to get more information concerning his problem.
I my assessment I was able to talk to Mr. Parker in a way that I showed him that there was a way out of the problem. Therapeutic communication in nursing dictates that you talk to the patient using constructive words which give the patient the hope to recover. The communication process should encourage the patient to the recovery path rather than portraying a doom about their conditions. Mr. Parker had a believer that his life would turn out to be very difficult since he had been diagnosed with a terminal diseases. To get more information about him in order to get the root cause of the disease I created a confidential atmosphere to Mr. Parker by assuring him that there was need to give me all his information in order for me to come up with the best nursing strategy for him to help him solve the problem of smoking and drinking.
(b) Active listening
To get more information from Mr. Parker, I had to listen to attentively and logically try to connect all the information that he gave me. As I listened to his story I realized that Mr. Parker's problems did no stop with excessive drinking and smoking. His problems went further to include nutritional problems and lack of physical exercises. I realized that being a manager, Mr. Parker was always busy from early morning to late hours working for his company. He lacked time to have physical activities and time to have healthy diets. Through active listening, I was able to gather all the information from him and at the same time related the information to get the root cause of his type II diabetes.
(c) Conveying knowledge and information
As we talked, I explained to Mr. Parker the relationship between his problems. I explained to him why he had developed the condition owing to his lack of exercises, lack of healthy diets, excessive drinking and smoking. I explained to him that eating junk foods leads to accumulation of fat in the body. Junk food contains