Building A Health History Week 7 Discussion
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
Analyze communication techniques used to obtain patients’ health histories based upon social determinants of health
Analyze health-related risk
Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
This is case assignment for this week’s Discussion listed below :
38-year-old Native American pregnant female living on a reservation
When you’re building your health history, it’s important to know what questions to ask and how to get them answered. You’ll need to find a doctor who can best answer your questions and provide you with a thorough medical history exam.
The next step is to find a doctor who is willing to take your health history. This can be tricky, because some doctors won’t want to do it unless you’re really sick or in dire need of medical attention (like if your life depends on it). So don’t give up! If you’re still having trouble finding a doctor willing to take your medical history and family history, try asking at different places—maybe one office will be more open than another?
If this doesn’t work out either way, keep looking until you find one who will! And remember: when taking the time out of their day for this kind of thing and making sure they get paid (and maybe hurting their feelings), they’re doing it because they care about other people’s lives too much not too…
When you visit your doctor, ask for a medical history. This is the most important thing you can do for yourself and your family. It’s also one of the easiest things to do—and it could help save lives! You can learn about medical conditions in other ways:
A doctor’s appointment is an opportunity to get a better understanding of your health, and it’s important to prepare yourself for the experience. If you’re concerned about taking a medical history exam, here are some tips:
A health history is a comprehensive list of your medical conditions and medications. You will be asked about:
A complete health history is a comprehensive record of your medical, mental and physical history. It includes everything you have ever been told by a doctor or other health care provider that could affect your current problems or future outcomes.
You should take the following steps to get the most out of this process:
We hope we’ve given you some insight into the importance of creating a health history. Remember to be as thorough as possible when compiling your own data. This will help you and your doctor understand each other’s needs more clearly, and ensure that both parties are on the same page when it comes to treatment options or future health care plans.
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