Getting to Know Analise
You are about to talk with Analise, a 54 year old female client. This is your first appointment with Analise, who has been referred to you by her respirologist.
The following chart will provide you with a detailed description of the issues impacting her health and wellness:
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Description of Client
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| Name | Analise |
| Age | 54 |
| Gender | Female |
| Family | Married for 30 years Two adult sons (26 and 24) Lives in a suburb close to a major city Owns her home |
| Presenting Issue | COPD diagnosis Seeing her respiratory therapist for ongoing education |
| Tobacco Use Status | Smokes 20 cigarettes per day |
| History of Tobacco Use and Quit Attempts | Began smoking daily at 16 years old Has tried to quit four times (all cold turkey) Longest time remaining quit was two months (Relapsed because still had cravings and her partner smoked in the home) |
| Time to First Cigarette | 30 minutes after waking |
| Withdrawal Symptoms | Irritability Difficulty concentrating Sleep disturbance Intense cravings |
| Environmental Triggers | She and her partner smoke inside their home Her two adult children do not smoke and no longer live in the family home |
| Behavioural Triggers | Enjoys smoking with her morning coffee, after meals and when watching television Smokes more if she drinks alcohol Stress at work is also a trigger |
| Biological Issues Medical/Physical Issues Psychological Issues |
Complains of withdrawal as a major trigger Can’t tolerate more than a few hours of not smoking COPD Hypertension Height: 5’2” Weight: 190lbs No history of diagnosed mental illness. Did have the “baby blues” after both of her sons were born |
| Current/Past Substance Use | Caffeine: Two large cups of coffee daily and one cup of tea every evening Alcohol: Two or three glasses of wine per week Cannabis: Used occasionally as a teenager but denies any current use |
| Supports | Two sons are supportive of her quitting. They have never smoked and do not like that their parents smoke. They are both concerned for her health. Partner has never tried quitting before. He is ambivalent only because he knows it’s important for Analise to quit. He would be willing to give it a try. |
| Current Stressors | Her diagnosis of COPD has been a big stressor Has trouble going for long walks which is something she did with her partner |
| Income/Employment | Works as an assistant manager at a distribution warehouse Partner works as a finance clerk for a hospital downtown |
| Education | College diploma |
| Access to Health Services | Belongs to a family health team Sees her respirologist regularly |
| Adverse Childhood Events | Her parents divorced when she was 10 years old She experienced this as a traumatic event because her parents fought for many years and the divorce was not amicable She and her only sister were separated for a while as the parents tried to take one child each |
| Family | Parents are deceased (both passed away at an early age) Her father died of lung cancer and her mother of complications due to diabetes |
| Strengths | Has quit four times before and longest quit was for two months Good relationship with partner and children Family is supportive of her quitting Works full-time and has little financial stress |
The following information is noted in her chart:
Recent diagnosis of COPD. Client has already received some information (brochures, websites) on living with COPD. Her respirologist, Dr. Chin has referred Analise to you to provide additional information on managing her COPD, weight loss, increasing physical activity and quitting smoking.
Now that you know more about Analise, click on the following screen to begin the appointment.