Review the Ewing (2004 ) questionnaire found in this week's Learning Resources and consider the difficult questions you might have to ask when you take a aatient's health history. Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening Review the media programs related to a vaginal exam ,pap test,and breast exam . Review the health history guide presented in Chapter 6 of the Schuiling & Likis (2017 ) text and consider how you would create your own script for building a 1ealth history. (Note : You will also find the Health History Form in Chapter 6) Select a "volunteer " patient to work with during your self -recorded video and arrange an appropriate time and setting with avolunteer patient to complete your 1ealth history. Note : Make sure to submit the Video Release Form located on the Kaltura Media Uploader page located in the course navigation menu. Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your aatient be more comfortable ). As you create your script ,consider the next bullet coint and the dif?cult questions you want to include in your script. As you work with your patient ,include those questions that you would have difficulty asking (number of sexual partners. sexual activity. types of sexual aartners .recreational drug use, alcohol use . gender affiliation .age of first ntercourse. STD history, reproductive history of pregnancy terminations. etc.) Review the Kaltura media Uploader tools in the left-hand navigation of Blackboard to guide you as you create your self -recorded video . (Note :your rideo should NOT be more than 15 minutes.) ment Part 1: (l-to 2-page reflection ) Ensure that you have appropriate lighting to record yourself collecting the aatient's health history. Self -record a video session of you with your volunteer patient (no more than 15 minutes )taking a health history and using the script that you created that ncludes the difficult questions to ask. in addition to your script for building a health history for this assignment ,include a separate section called "Reflection " that includes the following o A brief summary of your experiences in developing and implementing your script during your health history. 0 Explanations of what you found difficult when asking these questions .What you found insightful and what would you say or do differently. Explain how you incorporated the use of an app within your health history.

My experiences and explanations;

• The patient speaks a language other than English. In this situation, I should have a responsibility to access the services of a qualified health interpreter. I should familiarize myself with the organization`s policy and procedures for doing so.  Always remember; using  the patient`s friend or family to interpret may violate the patient`s rights to privacy and confidentiality, and should be avoided.
• The patient is overly-talkative. This is problematic because it can result in the collection of large amounts of irrelevant data, whilst important maybe overlooked. I should tactfully redirect the conversation and use close-ended questions to focus the conversation.
• The patient is silent in response to a question. This can be an awkward for me. However, allowing the patient to be silent for a short period can be useful, as it allows them time to gather their thoughts and plan a response.
• The patient asks me a personal question . In some situations it may be appropriate for me to briefly share a personal experience; indeed , this may help to build rapport with the patient . However, the focus of the interview should rapidly directed back to the patient.
• The patient displays emotions- for example anger or sadness. I should acknowledge the patient`s emotions and allow the patient to experience it. It`s always appropriate to discontinue the interview to allow the patient recover , before recommencing and exploring the reason for the emotion.

What I found insightful and what I would do differently.

• Ambiguous language

History cannot be recounted if there is misunderstanding with patient, when the patient is comatose with ambiguous information.

-What I will do- I will understand the patient through seeking more clarification and trying to breakdown information.

• Tacit misunderstandings

Complicating things further are the tacit norms that govern everyday conversation. for example the patient rating their happiness and satisfactions with life.

-What to do- Try and give the patient time for self expression.

• Recall

Failures of memory . Without memory there`s no history as shown by dialogue with end-stage Alzheimer`s disease.

-What to do - Make the patient think they remember, as you take notes of what they say and give them enough time to try and think as little as they can.

• Automatic shortcuts

A predictable memory failures occurs when a person is asked a question that requires laborious work for a perfect answer.

   Incorporating use of app with your health history

Incorporating App in health history is important for both health professionals and  patients as follows;

• Boon for health professionals staff.
• Healthcare App helps patients located in remote areas
• Blessing in disguise for the patients
• Reduced risks in diagnostic errors
• People can monitor their health conditions
• Streaming clinical operations
• Reduction in medical billing.

Step-by-step explanation

Health history is a record of information about a person`s health. A personal health history may include information about allergies, illnesses, surgeries, immunizations and results of physical exams and tests.