14
Running head: CASE INTERVIEW ASSESSMENT Case Interview Assessment Bianca Butler Ferris State University

interview case assessment

Embed Size (px)

Citation preview

Page 1: interview case assessment

Running head: CASE INTERVIEW ASSESSMENT

Case Interview Assessment

Bianca Butler

Ferris State University

Page 2: interview case assessment

CASE INTERVIEW ASSESSMENT

Module I

I had the pleasure of interviewing William Green. Mr. Green was born and raised in

Detroit, Michigan. Mr. Green was born on March 8, 1948 at Henry Ford Hospital. Mr. Green has

three other siblings. He is also the middle child. He went to Maybury Elementary School and

graduated in 1965 from Central High in Detroit. Mr. Green’s highest level of education is a high

school diploma; he never had the opportunity to go off to college. I asked Mr. Green what type

of illnesses he has. He states, “Oh, goodness, I suffer from depression.” have diabetes, kidney

failure, high blood pressure and heart failure.” I also asked Mr. Green what his first job was. He

stated, “That was so long ago. I believed my first job was when I was 16 years old at a

neighborhood youth group facility.” The next question I asked Mr. Green was how many times

he was married and how many children he had. Mr. Green stated that he has been married only

once to Tonya Green for 25 years and they have a total of eight children together, three boys

and five girls. I also asked Mr. Green whether anyone close to him has died recently. He stated,

“My uncle Cornell Sampson on my mother’s side. I took the death very hard because me and

my uncle were close. We did everything together; he was like a second father to me.”

I asked Mr. Green what his earliest memory of his house was. He stated that he

remembers the house being white with the paint chipping on the outside and a fence around

the house. He also remembers that there were a total of four bedrooms and that he had to

share his room with his younger brother, named Lonnie. The next questions I asked Mr. Green

were what his earliest memories of food were, what types of toys and games he played with

and how often he traveled. Mr. Green replied by saying, “I remember always eating soul food,

Page 3: interview case assessment

CASE INTERVIEW ASSESSMENT

greens, cornbread, black-eyed peas, neck bones, chitlings, sweet potato pie and Twinkies. My

favorite game growing up was Monopoly. I loved this game because it was fun, I got a chance to

buy property, I learned things that I didn’t know and it works your brain. I never really did

travel; I always stayed at home and played. I really didn’t have the luxury of going out of town.”

The next question I asked Mr. Green was about his health resources and what health

resources are available to him. Mr. Green replied by saying he has Altercare of Big Rapids

Center, orthopedic care, Big Rapids Hospital and Home Health Care all available to him. The

next question I asked was what type of health insurance he currently has. Mr. Green replied, “I

currently have the Meridian Health Plan.” Then I asked how he gets back and forth to his

doctor’s appointments. Mr. Green stated that “I get back and forth to my doctor’s

appointments by my wife, Tonya. Tonya brings me to my appointments and sits there and waits

until I get finished.” I then asked what type of prescription coverage Meridian has. Mr. Green

stated that “Meridian covers prescription drugs and some over-the-counter drugs as well. I also

do not have any co-pays to pay when I pick up my prescriptions.” The next question that I asked

Mr. Green was who his primary care medical provider was and if he had a dental plan. Mr.

Green responded by saying, “My primary care medical provider is Dr. Howard Mahabeer. He is

located in Reed City. I have been going to him for the past ten years. Yes I have dental care. I go

to the clinic right here in Big Rapids, but I cannot think of my dentist’s name at the moment.”

I then proceeded to ask Mr. Green what type of diagnostic tests were done on him. Mr.

Green responded by saying, “I got my blood and urine tested to see if I had kidney disease

because my side of the family has a history of high blood pressure and diabetes. I go to Grand

Page 4: interview case assessment

CASE INTERVIEW ASSESSMENT

Rapids three times a week for my dialysis. I got my blood glucose tested to also see if I had

diabetes because I know it runs in my side of the family. I have type two diabetes and I must

take my pills every day and check my glucose.” For my heart failure my doctor had to do several

tests: a chest x-ray, EKG and a brain natriuretic peptide (BNP) test.” For my high blood

pressure, the doctors just measured how high my blood pressure was and put me on some

medications.” Next I asked Mr. Green if he had any medical specialists that he sees. Mr. Green

stated that he sees a specialist in Grand Rapids named Dr. Sherman. He also sees a doctor right

here in Big Rapids for his foot and doctor Adams, a heart specialist in Cadillac, for his heart

failure.

Next I asked Mr. Green how old his parents, grandparents, and siblings are or were

when they died, their levels of independent functioning currently or at their times of death,

significant illnesses and the causes of their deaths. “My father passed away at the age of 80. He

was pretty independent his whole life. He ended up dying from having a stroke. My father

didn’t suffer from any illnesses, but he did have diabetes and high blood pressure.” He added,

“my mother passed away at 83 from breast cancer, unfortunately. She sometimes would have

someone come over to help with the house chores because she sometimes would be too weak

or sick to do it herself. All of my siblings are still alive. My brother has diabetes, one of my

sisters suffers from dementia, while my other sister suffers from high blood pressure and

diabetes.”

Then I proceeded to ask Mr. Green about his past illnesses, diseases and injuries,

approximate dates of when they occurred and any lasting effects. Mr. Green replied by saying,

Page 5: interview case assessment

CASE INTERVIEW ASSESSMENT

“I suffered with depression and a little bit of memory loss.” When I asked about his depression,

he said, “I first found out I suffered from depression about 20 years ago when my uncle passed

away. I felt sad for so long because we were so close and I took his death real hard. I would

have to say my depression has gotten better over the years. I managed to cope with it because I

know he’s in a better place.” I asked him to elaborate on his memory loss, and he told me, “I

sometimes cannot remember where I put things. Some days my memory is better than other

days.” When I asked about any diseases he has, he replied, “Some diseases that I do have are

kidney failure, diabetes, heart failure and high blood pressure.” His past injuries include two

injuries in his arm and a cracked rib. He goes to see Doctor Sherman in Grand Rapids to help

him improve the use of his arm. I asked Mr. Green about his diabetes, and was told, “I was

diagnosed with diabetes 20 years ago. One effect that I have from having diabetes is that

sometimes my vision is a little bit blurry.” When I asked about his other diseases, he said, “I

was diagnosed with kidney failure and high blood pressure six years ago. I often feel weak from

dialysis. I then was diagnosed with heart failure last year. I often feel tired, have shortness of

breath at times and have some swelling in my ankles and feet.”

Module II

Next I asked Mr. Green how good his senses of sight, hearing, taste, smell, and touch are

and whether he uses any adaptive equipment and if so, how satisfied he is with it. Mr. Green

told me that he does use adaptive equipment. He explained, “my hearing seems to be a little off

at times. I sometimes have to have people repeat what they said two or three times before I

can answer the question. For my sight, I wear glasses when I want to read the newspaper.” He

Page 6: interview case assessment

CASE INTERVIEW ASSESSMENT

told me that his sense of taste is okay, but he sometimes has to put extra seasoning in his food

in order to taste it. When asked about any other pain or discomfort he experiences, Mr. Green

said, “I sometimes feel pain in my legs and ribs because of my leg cramps and because I have a

cracked rib.” However, he also stated that all of his needs are met. “I can fix my own meals by

myself, get dress by myself and go for walks by myself. I have no problem with bathing myself. I

managed to go to the bathroom by myself.”

Module III

I asked Mr. Green about his sleep history and asked him whether he uses any aids and if

so, whether he was satisfied with them. Mr. Green responded that there are no aids he

currently uses to help him get to sleep. Then I asked Mr. Green whether there have been any

changes in his sleep pattern and if so, what the contributing factors are. Mr. Green replied, “no,

I sleep pretty good throughout the night.” I then proceeded to ask Mr. Green how his daily

cognition needs are met, about unmet needs, losses and coping methods. Mr. Green stated, “I

watch the ‘Price is Right’ I get my brain a going by guessing how much the object is. One coping

method that I use would be writing a list of things I need to get done for the day. It helps jog my

memory more.”

Module IV

Next I asked Mr. Green whether he has any heart and circulatory health problems and

related treatments or functional limits and whether all his needs are met. Mr. Green stated,

“yes I have heart failure. When I was diagnosed with heart failure last year, I had to eat well,

follow a healthy lifestyle and take my prescribed medication. Some functional limits that I have

Page 7: interview case assessment

CASE INTERVIEW ASSESSMENT

with heart failure are that I have to limit the fluids that I drink and weigh myself each day. Yes,

all of my needs are met.” I then asked Mr. Green whether he experiences any breathing

problems and related treatments or functional limits. I asked whether all his needs are met. He

replied by saying, “I have an oxygen tank that I sleep with at night. I need the extra oxygen so I

can breathe. One functional limit that I do have is not being able to breathe properly on my

own at night.” However, he feels that he has everything he needs.

Module V

The next set of questions I asked Mr. Green was about dentition, nutrition, urination,

and changes in sexual functioning. I asked Mr. Green how many natural teeth he has and

whether he has any problems chewing and is satisfied with his eating and tasting. He stated

that he has most of his natural teeth left and that he doesn’t have a problem with chewing his

food and is satisfied with his eating ability, but not so much with his tasting ability because he

has to put extra seasoning in his food. I then asked Mr. Green whether he maintains a

consistent body weight, has difficulty in buying, preparing, or eating food, and whether all his

needs are met. He replied by saying, “yes I have a pretty good body weight. At times it can go

up and down. No, I do not have difficulty buying, preparing or eating food. Me and my wife

both buy and cook food. I would have to say that all of my needs are met.” Then I proceeded to

asked Mr. Green whether he had any urination issues, such as incontinence, nocturia,

retention, or lessened kidney function and whether he uses any adaptive equipment or

incontinence products used and whether all his needs are being met. Mr. Green answered, “I

haven’t urinated in over a year. I don’t have any excessive urination because I cannot urinate.

Page 8: interview case assessment

CASE INTERVIEW ASSESSMENT

One of my kidneys is failing, but the other one is fine.” Mr. Green really didn’t go into detail as

to why he couldn’t urinate. He also didn’t state whether or not he used any adaptive

equipment or incontinence products. The last question I asked Mr. Green was how he

expresses affection to others in their lives, whether he is satisfied by his current level of

personal sharing and affection with others. Mr. Green replied by saying, “I tell my wife and

children that I love them every day. I shower them with love and affection to show them how

much I love them. Yes, I am satisfied because I get along with pretty much anybody.”

Module VI

At this time I thanked Mr. Green for the interview and asked if he wanted a copy of the

written assignment. He did not respond to this question. Before the assignment Mr. Green and I

were acquaintances through my older sister, so I plan to see him again in the near future.

Personal Reflection

Before the interview, I felt distracted the night before because I didn’t get a full eight

hours of sleep. The morning of the interview I felt hungry, but didn’t have time to make myself

breakfast. I could feel the hunger taking over and I wasn’t as focused as I wanted to be. During

the interview I felt nervous and the reason I felt like this was because I wanted everything to go

according to plan. Some of my observations of the interviewee and his surroundings were that I

noticed that Mr. Green seemed to have insomnia; he had trouble getting to sleep for the past

couple of nights. He seemed to experience some leg cramps and feelings of fatigue as well. I

also observed that Mr. Green seemed to struggle with some memory loss as well, and he

seemed to struggle with some hearing loss. As I noticed the surroundings around Mr. Green’s

Page 9: interview case assessment

CASE INTERVIEW ASSESSMENT

home, I noticed that there was plastic on the couch, some of his things all cluttered together,

and rugs on the floor which could possibly make Mr. Green fall. My comfort level during the

interview was at a seven out of ten because, like I said, beforehand, I felt nervous and a little

anxious all at the same time. One thing that I was missing in preparation for this assignment

was something to write with. A couple of things that I would do differently the next time I have

to interview an older adult is to make sure that I eat breakfast before going to the interview,

get a good night’s sleep and bring a pen to write with.

Page 10: interview case assessment

CASE INTERVIEW ASSESSMENT

References

Green, W. G. (2013, July 30). Interview by B.Y. Butler [].