Assessment Of A Female Patient Assignment Paper

Social Determinants of Health significantly impact the delivery of healthcare in various clinical settings. This discussion presents an interview summary and communication techniques that would facilitate assessment in a female patient; the reason for using the selected techniques; the risk assessment instrument that can be applied to this patient; targeted questions, and resources available to the at-risk client Assessment Of A Female Patient Assignment Paper.

The selected patient is a 38yo Native American pregnant female residing on a reservation. The woman has visited the medical facility for pregnancy-related check-ups. During the interview, it was established that the client was four weeks pregnant with her third pregnancy. The client further reported that her previous delivery was through a cesarean section. However, the client denies a history of chronic illnesses. She is a library assistant with an income that is 100% above the federal poverty level. The client also disclosed that she has medical insurance coverage issued by Indian Health Programs.

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Communication techniques would enhance this assessment. The first communication technique involves listening to the client attentively without interrupting. According to Menz, and Al-Roubaie (2018)Assessment Of A Female Patient Assignment Paper, patients are willing to share more information during medical interviews if they are allowed to speak without being interrupted. Therefore, the client would provide all relevant medical data if she was not interrupted during the assessment. The second technique involves the use of structured clinical interviews. Huang et al. (2021) reported that structured clinical interviews result in the collection of relevant medical-related information only. Information collected during the clinical interview is then used in managing medical-related issues (Jones et al., 2021). Hence, this communication technique would ensure only relevant information is collected during the assessment, contributing to positive pregnancy outcomes.

The selected risk assessment instrument is the Historical, Clinical, Risk, and Management-20 (HCR-20). Healthcare professionals use HCR-20 in assessing violence and psychological issues experienced by an individual patient (Challinor et al., 2021). Studies show that pregnant women are at high risk of experiencing psychological issues during pregnancy (Isaacs & Andipatin, 2020). Psychological and emotional distress during pregnancy is specifically higher in women with high-risk pregnancies (Holness, 2018)Assessment Of A Female Patient Assignment Paper. Therefore, the instrument is the most appropriate for this client since it will indicate any potential psychological issues that require interventions.

Potential interview questions include

1. When was your last menstrual period?
2. Are you sexually active?

• Do you have a history of high-risk pregnancies?

1. Does your family has a history of twins?
2. Do you have a history of chronic illness or major surgery?

A national resource available for patients with high-risk pregnancies in the U.S. is the NICHD. This federal agency aims at improving pregnancy outcomes by establishing causes and managing high-risk pregnancies (NICHD, 2018). Thus, the NICHD would improve pregnancy outcomes in women with high-risk pregnancies Assessment Of A Female Patient Assignment Paper.

References

Challinor, A., Ogundalu, A., McIntyre, J. C., Bramwell, V., & Nathan, R. (2021). The empirical evidence base for the use of the HCR-20: A narrative review of study designs and transferability of results to clinical practice. International Journal of Law and Psychiatry, 78, 101729.

Holness, N. (2018). High-risk pregnancy. Nursing Clinics, 53(2), 241-251.

Huang, R. W., Shen, T., Ge, L. M., Cao, L., Luo, J. F., & Wu, S. Y. (2021). Psychometric properties of the chinese version of the primary care post-traumatic stress disorder screen-5 for medical staff exposed to the covid-19 pandemic. Psychology Research and Behavior Management, 1371-1378.

Isaacs, N. Z., & Andipatin, M. G. (2020). A systematic review regarding women’s emotional and psychological experiences of high-risk pregnancies. BMC psychology, 8, 1-11.

Jones, L. K., Sturm, A. C., Seaton, T. L., Gregor, C., Gidding, S. S., Williams, M. S., & Rahm, A. K. (2020). Barriers, facilitators, and solutions to familial hypercholesterolemia treatment. PLoS One, 15(12), e024419.

Menz, F., & Al-Roubaie, A. (2018). Interruptions, status and gender in medical interviews: The harder you brake, the longer it takes. Discourse & Society, 19(5), 645-666.

National Institute of Child Health and Human Development. (NICHD) (2018). High-Risk Pregnancy Resources. https://www.nichd.nih.gov/health/topics/high-risk/more_information/resources Assessment Of A Female Patient Assignment Paper