RISK FACTORS CASE STUDY
Everyday there are opportunities to improve a patientâ€™s life through health promotion. In this case study, we will discuss a very stereotypical patient. You will encounter somebody like this man regularly in primary care: one who isn’t sick yet and gets overlooked because technically there is very little wrong…for now. It is very important for us to invite ourselves in to caring for our patients and in a holistic manner. There are many healthy things about the gentleman below, but there are also changes that he could make that would optimize his well-being. This is also the type of patient that we forget to discuss spirituality. Let’s take a moment and make a plan for Jack. Let’s also take a moment to reflect on how we will remind ourselves to make all of the “Jacks” that we will encounter a priority.
Case Study: Jack is a 48-year-old Caucasian male. He weighs 290 pounds and is 5â€™11â€. He feels physically well except for severe osteoarthritis in bilateral knee joints that prevents him from being very active. He used to be an athlete, but this has stopped him from enjoying the leagues he used to participate in. His family history is relatively benign. He does not smoke, rarely drinks, and values watching his two children play sports. His daughter is 12 and is involved in several sports and his son is 16. Both are in the 95th percentile for weight and spend a great deal of time with their father. He enjoys a healthy relationship and sex life with his wife of 20 years. His family is also invested in attending and volunteering at their church where their children play softball on the church league as well. His wife is very health conscious and has expressed concern that her husband does not take his health seriously. She generally does the cooking but reports that if she does not prepare â€œjunk foodâ€ that he will find a way to eat this.
20Jack cites a lack of time and additionally financial concerns for preventing him from eating well and exercising. He is jovial and cooperate but seems overall unconvinced that this is a problem for him.
1.What are some of the roadblocks that you identify that might make motivating change behavior and implementing a plan difficult for this patient?
2.What potential problems might concern Jack most considering his risk factors, stage of development, and other historical factors? How can you use these to help him consider change?
3.Assuming that Jack is ready to change, create a plan for him considering his barriers, attitudes, and strengths. Please remember to take seriously what his concerns are and what his facilitating factors could be. Make sure you approach this holistically.
4.Considering his affinity to religion and his church family, how could you include these things and God in the patients plan and why might this be important?