Post-Building A Health History: Responses Essay

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Post-Building A Health History: Responses Essay

One page response to each of the attached. My post was order 223390. By Day 6 of Week 1 Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches: Share additional interview and communication techniques that could be effective with your colleague’s selected patient. Suggest additional health-related risks that might be considered. Validate an idea with your own experience and additional research.

A health assessment (HRA) provides healthcare providers with a way to evaluate an individual’s quality of life and health risks before implementing relevant interventions for health promotion and disease prevention. Ball et al (2019) define a health assessment is a systematic approach towards collecting data from an individual by identifying potential risk factors, providing individualized feedback, and linking a person with health promotion interventions to prevent diseases.  Being able to perform a health assessment is an incredible tool that nurses have among other skills.  Post-Building A Health History: Responses Essay. Assessments utilize both objective and subjective data. The latter is information shared by a patient while the former includes information collected and measured by a healthcare provider. Besides, health assessments provide nurses with an opportunity to establish a rapport with patients that forms the basis of a long-term therapeutic relationship (Ball et al., 2019).

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When building a health history with the 40-year old from Africa, it would also be important to communicate clearly in simple language to promote understanding. The risk assessment should also focus on lifestyle and socio-economic status. Individuals aged 40 years and older are at a higher risk of chronic lifestyle illnesses, and being uninsured increases the risk of poor health outcomes. Therefore, additional goal-directed questions would include:

What do you do for a living?

What is your living situation?

Do you have any friends or family around and how do you relate?

How is our lifestyle?

Reference

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination:  An interprofessional approach (9th ed.). St. Louis, MO:  Elsevier Mosby.

 

Health Assessments are meant to ensure that a healthcare provider creates an individualized care plan, evaluates a person’s health risks, and establishes a rapport with a patient. As a form of a plan of care, a health assessment helps to identify and address a patient’s needs adequately. A health assessment should always begin with an initial assessment that helps to determine the nature of a problem and sets the stage for subsequent stages of assessment. Health Risk Assessments (HRA) comprise of demographics, family health histories, risk assessments, health histories, and biometrics and purpose to improve the relationship between a patient and healthcare provider (Ball et al., 2019). The aforementioned tools increase the participation of patients in their plan of care and contribute immensely to ensuring that a patient adheres to a care plan. Post-Building A Health History: Responses Essay.

It would also be advisable to acknowledge that the client is an adolescent (14 yrs.) and adolescence is a challenging time in an individual’s life that increases susceptibility to risky behavior. Some adolescents can be unwilling to talk with a healthcare provider or may want assurance for high levels of privacy and confidentiality. Providing a safe and private environment for the client to share his concerns is a good approach to winning his confidence. However, the provider should inform the adolescent that talking in private does not include keeping secrets from his parents and guardians, especially if there are concerns about individual or immediate environment safety risks.

A good risk assessment instrument to use for this patient is the HEEADSS instrument as follows:

  • Home Environment
  • Education
  • Eating
  • Activities (peer-related; ambitions, anger)
  • Drugs
  • Sexuality
  • Depression/suicide
  • Safety from violence and injury

Additional directed open-ended questions   that a provider can ask to assess specific areas for problems in this client are:

  • What do you like and don’t like about school?
  • How is your living situation?
  • What are your favorite activities?
  • Tell me about your friends
  • What activities do you often engage in with your friends?

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination:  An interprofessional approach (9th ed.). St. Louis, MO:  Elsevier Mosby.

Barbara T. 

WEEK 1 ADVANCED HEALTH ASSESSMENT

Top of Form

INITIAL POST

Wellbeing Assessment 

Health  evaluation is the assortment of an individual’s condition of health (Forbes &Watt, 2015). Appraisal of individual is an examination of abstract information. What an individual report during history taking about themselves is an emotional information (Forbes and Watt, 2015). Perception and physical wellbeing assessment taking by a professional is a goal information. Post-Building A Health History: Responses Essay.  During wellbeing appraisal, what an expert see during wellbeing evaluation, for example, investigating, percussing, touching, and auscultating are target information (Forbes and Watts, 2015).

Building a Health History 

Building a wellbeing history for a 40-year-old black man from Africa without medical coverage. Most importantly, this individual life expectancy ought to be placed into thought. At that point his personal satisfaction and security, race and nationality, social and financial status ought to be consider. Thought of the entire individual is the embodiment of comprehensive wellbeing (Forbes and Watt, 2015). Building a patient health history ought to be customized to the patient’s touchy emotions, his conduct, and to the basic and simple terms a patient can get (Bell, et al., 2015). Building an affinity with a patient will make a patient more agreeable and more unwind during wellbeing appraisal.

Directed Question 

Powerful correspondence will encourage talk with measure between a patient and a professional (Bickley and Szilagyi, 2013). As per Bickley and Szilagyi, (2013) these focused on questions will encourage thorough physical assessment, and permit patients to open up additional about their medical issues.

  1. What concerns bring you here today?
  2. Was there a particular health worry that incited you to plan this arrangement?
  1. Would you be able to reveal to me which one of the medical issue you are most worry about?
  1. Would you be able to disclose ti me more about the primary issue that you referenced?
  1. How long has this issue been going on?  Post-Building A Health History: Responses Essay.

During focused inquiries, start with open-ended inquiry that permit full opportunity of to about his medical (Bickley and Szilagyi, 2013). Asking question that would urge a patient to communicate any conceivable concern, as a result the will feel patient great, and give an appropriate domain to quiet solace.

   References 

Ball, J.W., Dains, J.E., Flynn, J.A., Solomon, B.S., and Stewart, R.W. (2015). Seidel’s manual for physical assessment (eighth ed.). St. Louis, MO: Elsevier Mosby

Bickley, L., and Szilagyi, P. G. (2012). Bate’s manual for Physical Examination and history-Taking. (eleventh ed.). Lippincott Williams and Wilkins. Recovered from http://culturalmeded.stanford.edu/pdf%20docs/Bates_Chapter_2.pdf

Forbes, H., and Watt, E. (2015). Jarvis’ Physical Examination and Health Assessment. (second ed.). Elsevier Health Science. Post-Building A Health History: Responses Essay.

Main Post Week #1

Top of Form

Building a Health History

In order to successfully diagnose a patient, enough information must be gathered from physicians to develop an accurate medical history. (Ohm et al., 2013) Patients will not know which information is

critical to share; therefore, medical provider’s actual practice should develop the knowledge to interview in detail patients to detect critical data to build a medical record and address patient’s concerns.

Good communication skills between patient and healthcare providers enhance care quality and patient outcomes, but still—a challenge (Pollak et al., 2017). Patient engagement adds several benefits for

quality of care, such as better clinical adherence, better patient outcome, and less malpractice suit; to help engage a patient in the conversation; trust must be built. It is crucial that as a provider, your

communication directs a relaxed and calm environment; patients that feel stress during healthcare visits are less likely to engage in a conversation, leading to low quality of care(Pollak et al., 2017).

Improving a clinician’s communication skills is something that should always be addressed and in continuing development. Demonstrating empathy with patients’ circumstances is a key that helps to

build patient trust. One communication technique is open-ended questions; open-ended questions help engage patients in the conversation and extract more information. (Lane, 2019).

The case study to analyze is a 14-year-old male living in a grandmother in a high-density public housing complex. Several factors need to be addressed by this patient in addition to physical

examination. The risk assessment would guide lifestyle behavior, current and previous health conditions, and emotional and physical health. The patient lives with grandmother; it is essential to inquire about

immunization records, periodically visits, if the patient used any illicit drugs, what type of balance, and current physical activity. It is essential to inquire more information about ethnicity background to see

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the patient’s more propensity to genetics. Post-Building A Health History: Responses Essay. The patient has to be assessed for emotional stability, such as an idea of harming himself or suicidal ideation. The patient lives in a high density of public housing, it

would be a good idea to assess what possible sanitize concerns, or lead exposure might be a living place. Relevant questions after greeting and introduction would include:

  1. Do you have any pain in any area of your body?
  2. How do you feel today?
  3. Can you recall the last time that you visit a doctor’s office?
  4. Tell me about your hobbies and what are your activities after school?
  5. Tell me, what do you usually eat on a regular day?
  6. Do you get any headaches periodically? Do you feel that you can not concentrate or dizzy?
  7. Tell me about your neighborhood?
  8. Have you ever think about hurting yourself?
  9. Is there anything that makes you feel stress and would like us to assist you or your grandmother with?
  10. Do you know where your parents are from?

As healthcare providers, our patient care should always be addressed holistically. We have the responsibility to provide the best care for every patient, not only addressing any physical impairments but

any emotional circumstance that can be affecting our patient. 

References

Lane, W. (2019, October 1). How do open-ended questions improve interpersonal communication? | by dr. william lane | medium. Medium. Retrieved September 1, 2020, from

https://medium.com/@drwilliamlane/how-do-open-ended-questions-improve-interpersonal-communication-7bdef30d0604

Ohm, F., Vogel, D., Sehner, S., Wijnen-Meijer, M., & Harendza, S. (2013). Details acquired from medical history and patients’ experience of empathy – two sides of the same coin. BMC Medical Education,

           13(1). https://doi.org/10.1186/1472-6920-13-67

Pollak, K. I., Back, A. L., & Tulsky, J. A. (2017). Disseminating effective clinician communication techniques: Engaging clinicians to want to learn how to engage patients. Patient Education and

          Counseling, 100(10), 1951–1954. Retrieved September 1, 2020, from https://doi.org/10.1016/j.pec.2017.05.015 . Post-Building A Health History: Responses Essay.