question archive Building a Comprehensive Health History summary of the interview and a description of the communication techniques you would use with your assigned patient
Building a Comprehensive Health History summary of the interview and a description of the communication techniques you would use with your assigned patient
Subject:NursingPrice: Bought3
Building a Comprehensive Health History
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.
Introduction
For this week speaking, utilizing useful communication methods and proper assessment or screening implements, you will boost trust and deliver respect, and you will agree to the patient's story to reveal in its most detailed and thorough form. This week's discussion post will select the 76-year-old African American male with disabilities in an urban setting. The patient should consider his quality of life, occupation, race, ethnicity, cultural and socioeconomic status, and native language. At the age of 76, a cognitive assessment should be performed to assess direction and memory. Consideration of the individual is essential to gather information and understand the person being interviewed accurately.
Communication Techniques
Excellent communication starts with making the patient feel comfortable, build a trusting relationship, and establish a connection. Efficient communication will assist in the appropriate facilitation of the interview process between a patient and a practitioner. An open-ended approach when asking questions can lead to more in-depth details and simplify the health history interview. The patient should be asked a single question, and the patient should have the opportunity to answer the question before the next question is asked.
According to Kieran & Rosenbaum (2018), excellent patient-physician communication skills increase medical conditions, enable shared decision-making in treatment planning, enhance clinical results, and decrease lawsuits.
Risk Assessment Instrument
I will assess the patient's hygiene, grooming, and appropriateness of dress for age. In addition, due to the lack of self-care for patients now, it is not suitable to wear proper clothes, so their physical appearance and behavior need to be evaluated. (Ball et al. 2015). Now inappropriate clothing in a previously well-groomed person may be a sign of depression (Ball et al. 2015). As a nurse practioner, assessment and evaluation of social and neighborhood characteristics in holistic care may be essential for frail older adults living in communities. For health policymakers, building cohesive and harmonious areas may be a potential strategy for preventing declines in older adults' functional capacity. Physical weakness is an incapacitating age-related syndrome of increased deficiency and decreased physiologic preserve capacity, which causes a broad range of unfavorable health consequences.
Targeted Questions
Using carefully selected items in the tool and spending some time in conversation may enhance patient-centricity Following are the questions that I would ask to know more about the patient social and family life. A useful question for selected patients: The participants considered the assessment tool to be weak and valuable. Sufficient time for evaluation interviews is essential but is considered an ideal evaluation patient (Nord et al., 2020).
1. What are you bringing today?
2. How long do you have experienced these symptoms?
3. Are you on any medications?
4. Do you have a history of this?
5 Do you problems with smoke, drink alcohol, or use any drugs?
6 Do you have food or medicine allergies?
7. Are you capable of performing activities of daily living independently?
8. Do you need home health care?
9. Any family members or neighbors willing to assist you in times of need?
Conclusion
The nurse needs to give the patient more time to respond to the questions or redirect the patient to stay focused on the topic. Patients with high dependence were more often prone to pressure ulcers, lowering emotional state mental function, and often, problems with locomotion, vision, and hearing (Doroszkiewicz, Sierakowska & Muszalik, 2018). The results showed that disability, depression, advanced age, and vision and hearing problems relate to increasing care dependency.
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.
Doroszkiewicz H, Sierakowska M, & Muszalik M. (2018). Utility of the Care Dependency Scale in predicting care needs and health risks of elderly patients admitted to a geriatric unit: a cross-sectional study of 200 consecutive patients. Clinical Interventions in Aging, ume 13, 887-894.
Kieran, K., Jensen, N. M., & Rosenbaum, M. (2018). See, Do, Teach? A Review of Contemporary Literature and Call to Action for Communication Skills Teaching in Urology. Urology, 114, 33-40. https://doi-org.ezp.waldenulibrary.org/10.1016/j.urology.2017.10.058
Nord, M., Östgren, C. J., Marcusson, J., & Johansson, M. (2020). Staff experiences of a new tool for comprehensive geriatric assessment in primary care (PASTEL): a focus group study: Primary care staff experiences of geriatric assessment. Scandinavian Journal of Primary Health Care, 38(2), 132-145. https://doi-org.ezp.waldenulibrary.org/10.1080/02813432.2020.1755786
Xie, B., Ma, C., & Wang, J. (2020). Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults. International Journal of Environmental Research and Public Health, 17(16). https://doi-org.ezp.waldenulibrary.org/10.3390/ijerph17165912
