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.
Patient is a 38-year-old Native American pregnant female living on a reservation
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
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.
· Chapter 1, “The History and Interviewing Process”
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
· Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019).
Guide to clinical documentation
(3rd ed.). Philadelphia, PA: F. A. Davis.
· Chapter 2, "The Comprehensive History and Physical Exam" (pp. 19–29)
Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study.
...
Effective communication is vital to constructing an accurate and det
1. 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.
Patient is a 38-year-old Native American pregnant female living
on a reservation
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.
2. 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
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.
· Chapter 1, “The History and Interviewing Process”
This chapter explains the process of developing relationships
with patients in order to build an effective health history. The
authors offer suggestions for adapting the creation of a health
history according to age, gender, and disability.
· Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining
clear and accurate records. The authors also explore the legal
aspects of patient records.
Sullivan, D. D. (2019).
3. Guide to clinical documentation
(3rd ed.). Philadelphia, PA: F. A. Davis.
· Chapter 2, "The Comprehensive History and Physical Exam"
(pp. 19–29)
Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T.,
Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015).
Geriatric screening tools are of limited value to predict decline
in functional status and quality of life: Results of a cohort
study.
BMC Family Practice
, 16, 1–12. https://doi-
org.ezp.waldenulibrary.org/10.1186/s12875-015-0241- x
Wu, R. R., & Orlando, L. A. (2015). Implementation of health
risk assessments with family health history: Barriers and
benefits.
Postgraduate Medical Journal,
(1079), 508–513.
Lushniak, B. D. (2015). Surgeon general’s perspectives: Family
health history: Using the past to improve future health.
Public Health Reports
, (1), 3.
Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K.
S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The
natural history of cardiovascular risk factors in health
professionals: 20-year follow-up.
BMC Public Health, 15
(1111), 1–7. https://doi-
org.ezp.waldenulibrary.org/10.1186/s12889-015-2477-8
