Interview with the patient with chronic illness Analysis 2022

Interview with the patient with chronic illness
Introduction
The interview is an efficient tool aid in data collection and critical analysis of the patient
condition. It is the qualitative research interview, acts as a medium of the therapeutic
relationship with the patient. Collection of patient information is the primary step of the
nursing interview. Person-centred interview with the patient boost the rapport and reduce the
feeling of helplessness of the patient. This assessment is about the 30 minutes interview
conversation between the nurse and the patient with chronic illness. Discussion includes the
background information of the patient which includes the Pathophysiology and
pharmacological data. Impact of the chronic illness on the patient and family is analyzed.
RLT model of nursing is implemented to relate the collected information Establishment of
goal was implemented using nsqhs partnering with consumer’s standard. Nursing care
priorities goals of care and need of health education are listed as per the need of the patient.
Patient interview
Dear Clara,
He is William, participating in the interview to assess, analyze and support you for the better
outcome.
Clara is the 68 years old women, a retired school teacher suffering from multiple chronic
illnesses such as type 1 diabetes, hypertension and Chronic obstructive pulmonary disease.
She is a diabetic for the past three and a half years. She is on insulin and antidiabetic
medication for managing her blood sugar level. She has mild hypertension for which the
physician advised her for less fluid intake and low sodium diet. Clara is a chain smoker for
more than 30 years and she stopped smoking when she diagnosed with COPD as per doctors
advice in the year 2016. She is on bronchodilators for COPD management. Clara is a widow.
She suffered mild depression for a year after the death of her husband. Depression was

managed with anti-depressive medications and counseling (McGrath, Palmgren, & Liljedahl,
2019).
She is living with her only daughter, son in law and grandchildren in the outskirts of the city.
Clara loves to spend time with her grandchildren and neighbours. She loves to shop and dines
out twice a month with her family. Clara actively involves her in family and social gathering.
She suffers frequent exacerbation of the COPD nowadays due to climatic changes and has
complaints of frequent breathing difficulty episodes. Nutrition pattern of Clara is significantly
affected due to breathing difficulty. She also suffers from a recurrent respiratory infection.
She seeks medical advice for the same (Berkhof, van den Berg,Uil, & Kerstjens, 2015).
Pathophysiology
COPD is the common disease condition affects the respiratory system. It is the group of
respiratory diseases which includes Emphysema and bronchitis. Exacerbation of the disease
is triggered by allergens in the environment. Critical analysis of Clara’s signs and symptom
shows that the episodes of breathing difficulty are increased in the dusty environment and
also due to the climatic change (Anzueto, & Miravitlles, 2017). Pathophysiology of COPD
includes the inflammation of the inner lining of the respiratory system results in swelling and
increase mucus production (Mitchell, 2015). Swelling lessens the space of air entry which
results in impaired gas exchange and further complications. Increase mucus production clogs
the bronchus whereby the function of the respiratory system is affected. Clara has complaints
of recurrent respiratory infection which is due to increased mucus production (Mitchell,
2015).
Pharmacology and cultural
Bronco constriction is the most serious reaction of the system to the allergens. Clara suffers
from respiratory difficulty when exposed to allergens like dust, pollens and smoke. A
bronchodilator is the drug of choice for the treatment of COPD (Cazzola, Beeh, Price, &

Roche, 2015). Some of the common bronchodilators administered to the COPD patients are
salbutamol and terbutaline. The action of the bronchodilator is relaxing the smooth muscles
of the bronchus and the inner lining of the respiratory system. Clara manages the respiratory
difficulty using bronchodilators as it relaxes the inner muscles and eases the respiration.
Cultural cause for COPD in the case of Clara is smoking. She quit smoking four years back
but the impact of the smoking increases the complication of COPD.
Discussion
Impact of the chronic disease
Clara is the widower who had depression due to the loss of her husband. Being with her
daughter and grandchildren helped her to recover from the depression. Frequent episodes of
breathing difficulty and exacerbation of COPD affected her personal life with her family.
Multiple diseases like diabetes, hypertension and COPD together affected the physical health
of Clara. She is feeling guilty for making her daughter spend for hospitalization. She is
emotionally disturbed as she is unable to spend time with her grandchildren. As she is
financially depending on her daughter she is feeling guilty due to the financial burden of the
family. Recurrent sickness affected the social life of Clara and she is unable to meet her
friends and neighbors (Bos-Touwen et al. 2015).
RLT model of nursing is implemented to relate the collected information of Clara.
Assessment with the support of the RLT model aids in finding the need of the client. Clara is
living in a safe environment. Her communication with her family and neighbours is disturbed
due to the episodes of breathing difficulty. Clara is the known case of Chronic Obstructive
Pulmonary Disorder and her breathing is significantly affected. She is unable to meet her care
needs and incapable of implementing the Activities of Daily Life (Farooq, & De Villiers,
2017).