Response to latoya

Case study 3 presents a 23-year-old Native American male who visits the clinic for an annual physical exam. He is anxious, smokes cannabis Sativa, and drinks alcohol. The case shows lifestyle and spiritual factors possible health risks. He is on drugs such as cannabis Sativa, which he terms “pot.”  He also drinks alcohol. Excessive and overtime reliance on alcohol risks one to diabetes and various cancerous illnesses (Lam et al.,2021). Furthermore, spiritual beliefs that his lifestyle may hinder him from getting to heaven contribute to anxiety.

Question 2

The Subjective, Objective, Assessment and Plan (SOAP) is a common approach used by care providers to document patient data. It consists of four parts, the first one being subjective. On the subjective part, the care provider notes the chief complaints and other information obtained from the patient’s chart, for instance, history of present diseases, medical history, systems review, family history, and social status (Rhoads and Petersen, 2020). The primary purpose of subjective data is to give the care provider a picture of the patient problem and reason for visiting the hospital. Objective data is the second section based on the SOAP approach. It contains data obtained through objective assessment, which entails inspection, palpation, percussion, and auscultation (Ryu et al.,2022). Some of the data recorded in this section include blood pressure, weight, body mass index, temperature, and observable signs such as pacing in the anxious patient and results after systems review through laboratory tests and imaging.

Assessment is another crucial part of the nursing process also included in the SOAP method. It is key to recommending effective interventions. During this section, the care provider notes the issue or issues behind the presented signs and symptoms based on data collected from the previous sections. However, the data listed in this section may fail to relate to one’s previous illnesses (Rhoads and Petersen, 2020). The care providers may add other arising threats deemed to impact health. For instance, hypertension, marijuana, and alcohol consumption will be in the patient’s assessment section. The assessment for inpatients may contain more than diagnosed illness to capture aspects that care providers need to consider especially among inpatients (Rhoads and Petersen, 2020). More importantly, the method guides care providers in developing an effective plan. The plan section composes of interventions to treat or manage the condition. A care provider may recommend non-pharmacological interventions based on the patient’s severity. For instance, physical exercise can help in relieving anxiety. Other times, the caregiver can prescribe medications and educate on non-pharmacological interventions that promote safety. In this case, alprazolam, counseling to help in stopping drug abuse, and physical exercise would aid in relieving anxiety and blood pre