What is patient’s priority? (Daria's Post)

I finished 1st week of my neuro placement at SCGH. One of my patients case seems to be very interesting when I analyzed his social history, past medical history, his attitudes toward his health. The patient had PCI before that he had 2 episodes of vertigo, blurred vision, slurred speech and couple falls. However, he ignored these signs. He is 65-year-old male with history of HTN, CABGx3 who smokes 25g tabbaco per week and drinks 1 L wine per day. As the patient has own business and lives alone his social circumstances absorbing him more than his health state. Patient verbalized couple times he wants go home even after doctor has educated him about his condition which deteriorated, necessity of further investigation and rest in bed ( head flat to 30°) in order to improve blood supply to his brain. At that stage, it was interesting to see how results of investigation match with signs (↓ level of consciousness). Now I understand what Anne meant by person appears to be sleepy.
I find this case difficult as well as challenging. On the one hand, the patient is very compliant/ cooperative during physio treatment on the other hand he shows unawareness of his state and even ignorance and I know that sorting out his social issue ( own business) is his priority.

Daria