Advance nursing health assestment FO
76-year-old black male with disabilities living in an urban setting
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
How would your communication and interview techniques for building a health history differ with each patient?
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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.
3 current resources from 2016 to current.
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76-year-old black/American male with disabilities living in an urban setting
Communication and interview techniques for building a health history
Interviewing and communication techniques that are effective foster a positive relationship between the patient and the care provider. In this case, I would introduce myself and then ask the patient his preferred name and title; addressing a patient by his preferred title or name makes him feel respected and at ease. Since the patient has advanced in age, it would be crucial to make him feel respected by addressing him using the proper preferred title or his name (Murfield et al., 2021).
To establish a rapport with the patient, I would ask friendly questions about him; for example, I would inquire about where he is from and his family. Creating rapport is necessary to minimize tension between the care provider and the patient and facilitate better communication. I would speak slowly because the elderly require time to process what is asked or said about them (Murfield et al., 2021). Most people over the age of 65 suffer from debilitating hearing loss, therefore the need to speak slowly. Furthermore, slowly and discussing concerns with a patient will undoubtedly aid in the gathering of relevant information that will improve cooperation and treatment obedience. I would not interrupt the patient and would practice active listening, avoid jargon, and show empathy (Cohen et al., 2017).
Risk Assessment Tool
Home Safety Self-Assessment Tool; the tool developed to evaluate the living conditions of older adults. It examines the environment where the patient resides is secure from mishaps such as falls (Neubert et al., 2017). As individuals age, they may be unable to maintain their homes, generating structural concerns, accessibility problems, and fall risks, which may impair an older adult’s mental and physical challenges. Considering his age, this tool will be used to assess the patient’s life quality and safety. Based on the patient’s age, ethnicity, and gender, some of the potential health risks include heart diseases, hypertension, stroke, falls, renal disease, and cancer (Maness et al., 2021).
- Do you live with your family?
- How often do you participate in social gatherings?
- When was the last time you visited a hospital/clinic?
- Are you currently taking any medication?
- When was the last time you were sick/felt sick?
- Have you experienced a fall lately?
Cohen, J. M., Blustein, J., Weinstein, B. E., Dischinger, H., Sherman, S., Grudzen, C., & Chodosh, J. (2017). Studies of physician‐patient communication with older patients: How often is hearing loss considered? A systematic literature review. Journal of the American Geriatrics Society, 65(8), 1642-1649. https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.14860
Maness, S. B., Merrell, L., Thompson, E. L., Griner, S. B., Kline, N., & Wheldon, C. (2021). Social determinants of health and health disparities: COVID-19 exposures and mortality among African American people in the United States. Public Health Reports, 136(1), 18-22. https://journals.sagepub.com/doi/full/10.1177/0033354920969169
Murfield, J., Moyle, W., & O’Donovan, A. (2021). Mindfulness-and compassion-based interventions for family carers of older adults: A scoping review. International journal of nursing studies, 116, 103495. https://www.sciencedirect.com/science/article/abs/pii/S0020748919303025
Neubert, L., Kocher, A., Noble, A., Hynes, A., Nguyen, C., Nguyen, J., … & Bass, J. D. (2017). Interdisciplinary Fall Risk Screening and Assessment: An Evidence-Based Practice Project. https://sophia.stkate.edu/ma_osot/27/