Building a Health History  Thorough and accurate pediatric history is a challenging and very important to children's wellbeing that allows nurses and patients to establish a nurse-patient therapeutic relationship. History building is also essential in the interpretation of physical examination (Ball et al., 2019). Completing a comprehensive health history and physical examination is a tool used to document patient medical history, physical examination findings, and diagnosis (Sullivan, 2019). Using good communication skills to obtain this information is very important as communication creat a positive patient relationship. In other to develop this positive patient relationship, the nurse practitioner needs to build on courtesy, connection with the patient/guardian, ensure comfort and provide an opportunity for confirmation of what has been discussed to ensure understanding (Ball et al., 2019). Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019). Interview and Communication Techniques Children in rural areas face risk factors that are particular to their demographic features. Children living in rural areas are more at risk for health and developmental conditions. Performing an assessment and history taking in children can bring upon anxiety, so practitioners should try to ease the anxiety by making sure the child is in the room with the parent, especially preschoolers (Ball et al., 2019). Gaining confident and building practitioner-patient–caregivers relationship that is based on trust is very important as it facilitates with data collection (Mărginean et al., 2017). The practitioner should be empathetic as this will improve communication, be an active listener and observer to pick up any cues that patients might not share like grimacing, use open-ended questions. The use of questionnaire is encouraged too where the parent fills it out and by freely writing down patient concerns without having to answer the questions in person (Ball et al., 2019).   Risk Assessment Tool According to Chung et al. (2016), 20 percent of US children live in poverty in rural, urban, and suburban, so it is critical to know the social determinant of the health of children to assess them better and provide safe and appropriate care needed (Chung et al., 2016). This social determinant includes family financial support, child maltreatment, and child education. Chung et al. (2016), also continues to explain that children who live in poverty are exposed to adverse childhood experiences like toxic stress, developmental delay, and health conditions like asthma and heart diseases. Rural people are usually poor and experience healthcare disparities. According to the center for disease control and prevention (2016), younger children are more likely to experience fatal abuse and neglect than older .

1. Building a Health History
Thorough and accurate pediatric history is a challenging and
very important to children's wellbeing that allows nurses and
patients to establish a nurse-patient therapeutic relationship.
History building is also essential in the interpretation of
physical examination (Ball et al., 2019). Completing a
comprehensive health history and physical examination is a tool
used to document patient medical history, physical examination
findings, and diagnosis (Sullivan, 2019). Using good
communication skills to obtain this information is very
important as communication creat a positive patient
relationship. In other to develop this positive patient
relationship, the nurse practitioner needs to build on courtesy,
connection with the patient/guardian, ensure comfort and
provide an opportunity for confirmation of what has been
discussed to ensure understanding (Ball et al., 2019).
Performing an assessment and history taking in children can
bring upon anxiety, so practitioners should try to ease the
anxiety by making sure the child is in the room with the parent,
especially preschoolers (Ball et al., 2019).
Interview and Communication Techniques
Children in rural areas face risk factors that are particular to
their demographic features. Children living in rural areas are
more at risk for health and developmental conditions.
Performing an assessment and history taking in children can
bring upon anxiety, so practitioners should try to ease the
anxiety by making sure the child is in the room with the parent,
especially preschoolers (Ball et al., 2019). Gaining confident
and building practitioner-patient–caregivers relationship that is
based on trust is very important as it facilitates with data
collection (Mărginean et al., 2017). The practitioner should be

2. empathetic as this will improve communication, be an active
listener and observer to pick up any cues that patients might not
share like grimacing, use open-ended questions. The use of
questionnaire is encouraged too where the parent fills it out and
by freely writing down patient concerns without having to
answer the questions in person (Ball et al., 2019).
Risk Assessment Tool
According to Chung et al. (2016), 20 percent of US children
live in poverty in rural, urban, and suburban, so it is critical to
know the social determinant of the health of children to assess
them better and provide safe and appropriate care needed
(Chung et al., 2016). This social determinant includes family
financial support, child maltreatment, and child education.
Chung et al. (2016), also continues to explain that children who
live in poverty are exposed to adverse childhood experiences
like toxic stress, developmental delay, and health conditions
like asthma and heart diseases. Rural people are usually poor
and experience healthcare disparities. According to the center
for disease control and prevention (2016), younger children are
more likely to experience fatal abuse and neglect than older
kids. Risk factors for victimization include child age and
special needs that may be as a result of increased caregiver
burden from developmental and intellectual disabilities, mental
health issues, and chronic physical illnesses (Center for Disease
Control and Prevention, 2016).
Targeted Questions
Does your child have any allergies?
Does your child have a good appetite to eat?
Does your family has enough food?

3. What is the child living situation, has there being any change in
the child living situation within the past one month?
What are your family concerns or needs?
Does your child take vaccinations?
Is there anything I can do for you?
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.
Center for Disease Control and Prevention (2016). Preventing
Child Abuse and Neglect: A Technical Package for Policy,
Norm, and Programmatic Activities. Retrieved from
https://www.cdc.gov/violenceprevention/pdf/can-prevention-
technical-package.pdf
Chung, E. K., Siegel, B. S., Garg, A., Conroy, K., Gross, R. S.,
Long, D. A., Lewis, G., Osman, C. J., Jo Messito, M., Wade, R.,
Jr, Shonna Yin, H., Cox, J., & Fierman, A. H. (2016). Screening
for Social Determinants of Health Among Children and Families
Living in Poverty: A Guide for Clinicians.
Current problems in pediatric and adolescent health care
,
46
(5), 135–153. doi:10.1016/j.cppeds.2016.02.004
Mărginean, C. O., Meliţ, L. E., Chinceşan, M., Mureşan, S.,
Georgescu, A. M., Suciu, N., Pop, A., & Azamfirei, L. (2017).

4. Communication skills in pediatrics - the relationship between
pediatrician and child.
Medicine
,
96
(43), e8399. doi.10.1097/MD.0000000000008399
Sullivan, D. D. (2019).
Guide to clinical documentation
(3rd ed.). Philadelphia, PA: F. A. Davis.
zero plagiarism
I NEED A RESPONSE TO THIS POST