A framework for Patient-centered Health Risk Assessments Essay

Risk assessment: Complete a comprehensive risk assessment for a friend or family member. Please do not use the patient’s name or identifiers. Discuss your findings. Then, reflect on your interview and discuss which parts went well and which parts you will change the next time you complete a risk assessment. Attention … not a physical assessment. This assignment focus is a comprehensive risk assessment. Share your tool, format, etc. For example, if I were performing a comprehensive risk assessment, on an adolescent … What questions would be vital? If I were performing a comprehensive risk assessment on a visually impaired older adult, what questions would be pertinent. You will identify a tool, for example, Medicare plans perform comprehensive risk assessments, as do many insurers. Share … Remember, this is not a health history or physical assessment.

Health risk assessments (HRAs) unearth the health risks that an individual can develop because of their lifestyle, environment, or socio-economic status before implementing the appropriate prevention strategies. This paper is a reflection of a risk assessment interview with a 30-year-old Hispanic friend called Mrs. B. It discusses the parts that went well in the interview and the areas to change the next time when completing a risk assessment. A framework for Patient-centered Health Risk Assessments Essay.

Findings

The author used the Patient-centered HRA tool provided by the CDC. Based on the assessment findings, Mrs. B engages in light exercises such as slow walking and stretching for thirty minutes once every week. Physical inactivity increases the risk of obesity and subsequent type 2 DM, cardiovascular illnesses, depression, cancers (colon cancer), and hypertension (González, Fuentes & Márquez, 2017). She has never used tobacco or tobacco-related products but takes four bottles of beer thrice weekly. However, she uses a seatbelt and does not drive after drinking. She eats two servings of fruits and vegetables, one serving of whole-grain and high fiber foods, two servings of high-fat foods, and one serving of sugar-sweetened beverages each day. Mrs. B sometimes feels hopeless, depressed, and displeasure to do things. These feelings interfered with her ability to socialize with close friends and family. She denied feeling anxious with a lot of worries but admitted to stress from finances and social relations.

She acknowledged to always receiving emotional and social support from her spouse, friends, and close family members. Mrs. B considered her overall health status as good, could independently perform ADLs and often requires assistance to take care of housekeeping and laundry due to strict schedules and need to strike a balance between work, studying, and life. Mrs. B gets 6 hours of sleep, does not snore, and sometimes feels sleepy during the daytime. Sleep deprivation is associated with a high risk of cardiovascular disease hypertension and type 2 DM. Mrs. B’s blood pressure and blood glucose is taken three weeks ago were borderline high (130/80mmHg) and desirable respectively, and her TC (total cholesterol) six months ago was desirable. Mrs. B weighs 242lbs and is 6 feet tall. This translates to a BMI of 32.82, which is a sign of obesity.

What Went Well?

The introductory part of the assessment went well and provided a platform to establish a therapeutic relationship with Mrs. B grounded on trust and respect. Since Mrs. B was a Hispanic, I remained culturally sensitive and engaged respectfully. Maintaining open lines of communication helped her to feel at ease, and encouraged her to participate in care actively. The assessment session also went well. A framework for Patient-centered Health Risk Assessments Essay.  Mrs. B openly responded to all the assessment questions. However, she kept seeking clarification on questions she did not understand, which according to Goetzel et al. (2015) can be interpreted as a sign of distress or inattention.

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Parts to Change the Next Time When Completing A Risk Assessment

When completing a risk assessment next time, the author will ask the client the preferred language to conduct the assessment and consider using an interpreter if the client does not speak English. An interpreter enhances communication by conveying accurate information from one language to another. According to Goetzel et al. (2015), effective communication increases the rates of patient satisfaction and health outcomes particularly among patients with limited proficiency in English.

Conclusion

HRAs provide the forward-thinking opportunity to identify, address, and focus efforts on personal health histories and lifestyles. Key findings from the risk assessment with Mrs. B reveals that she is obese due to a sedentary lifestyle and has sleep deprivation, which is associated with a high risk of type 2 DM, hypertension, and other cardiovascular diseases. The introductory and interview part of the assessment went well since I was able to establish a good therapeutic relationship. When completing a risk assessment next time, the author will ask the client the preferred language to conduct the assessment and consider using an interpreter if the client does not speak English. A framework for Patient-centered Health Risk Assessments Essay.

References

Goetzel, R. Z., Staley, P., Ogden, L., Stange, P. V., Fox, J., Spangler, J., & Taylor, M. (2015). A framework for patient-centered health risk assessments: providing health promotion and disease prevention services to Medicare beneficiaries. Retrieved from https://www.cdc.gov/policy/hst/hra/frameworkforhra.pdf

González, K., Fuentes, J., & Márquez, J. L. (2017). Physical Inactivity, Sedentary Behavior, and Chronic Diseases. Korean Journal of family medicine, 38(3), 111–115. https://doi.org/10.4082/kjfm.2017.38.3.111 . A framework for Patient-centered Health Risk Assessments Essay.