Nursing Advanced Health Assestment of a case
Health Assessment questions for the patient assigned to me with the top 5 questions to ask. This is a Nurse practitioner doing the assessment.
My Patient:
14-year-old biracial male living with his grandmother in a high-density public housing complex
Instructions:
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.
PLEASE USE CURRENT APA AND NO N/D ARTICLES.
Discussion: Building a Health History
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.
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
Photo Credit: Sam Edwards / Caiaimage / Getty Images
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
- 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.
By Day 3 of Week 1
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.
RUBIC to Follow:
“Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
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Solution
Communication and Interview Techniques
Gathering accurate health history is essential for developing accurate treatment plans and patient education, and it is therefore important to have exemplary communication skills as a care provider. Since the patient is a fourteen-year-old, adolescents are not usually comfortable talking about their issues when other family members are present, and therefore, I would first meet the two when they are together and request permission to talk to the fourteen-year-old in private. AIDET will be appropriate when engaging the patient; it requires the care provider to acknowledge, introduce, duration, explain and finally thank the patient. Using this technique will be important to make the patient feel comfortable to speak about their health issues (Ho et al., 2020).
How might you target your questions for building a health history based on the patient’s social determinants of health?
To build a health history for this patient, the questions should focus on the daily activities that the patient participates in on a daily basis. Topics to focus on should include nutrition, for example, the number of meals a day, dental hygiene, engagement in exercises and other physical activities, friends and peer influence, education goals, and other interests such as sports, safe sex, and exposure to drugs (Tony-butler & Unison-pace, 2018).
Risk assessment instruments and potential health-related risks
Appropriate risk assessment instruments in this scenario would include HEEADSSS, which assesses the psychosocial status of a patient. It covers aspects such as home education, environment, eating, activities, drugs, sexuality, suicide, and safety. The psychosocial status of adolescents is important since it influences their behaviors which in turn affects their health. Based on the current environment and the adolescent stage of the patients, some health-related risks include engagement in drug abuse such as smoking and taking alcohol, mental health illnesses including anxiety and depression, sexually transmitted infections, unintentional injuries, eating disorders, and other recreational drugs (Register et al., 2020).
Develop at least five targeted questions
Some of the questions should include How is your school’s progress? This question provides important information about the experience of the patient at school and his social life, which is important in assessing health risk factors. What type of meal do you often have at home, and how many times? Have you ever tried any drug? How would you describe the relationship with your grandmother at home? How many friends do you have? Do you engage in sports or other physical activities? How frequently do you visit a hospital?
References
Ho, J., Fong, C. K., Iskander, A., Towns, S., & Steinbeck, K. (2020). Digital psychosocial assessment: an efficient and effective screening tool. Journal of Paediatrics and Child Health, 56(4), 521-531. https://onlinelibrary.wiley.com/doi/abs/10.1111/jpc.14675
Register, S. J., Blanchard, E., Belle, A., Viles, A., Moore, S. P., MacLennan, P., & White, M. L. (2020). Using AIDET® Education Simulations to Improve Patient Experience Scores. Clinical Simulation in Nursing, 38, 14-17. https://www.sciencedirect.com/science/article/abs/pii/S1876139919300052
Toney-Butler, T. J., & Unison-Pace, W. J. (2018). Nursing admission assessment and examination. https://europepmc.org/article/nbk/nbk493211