Posted: December 21st, 2022

76-year-old black male with disabilities living in an urban setting

B76-year-old black male with disabilities living in an urban setting

y Day 3 of Week 1

76-year-old black male with disabilities living in an urban setting

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 76-year-old black male with disabilities living in an urban setting.

 A strong patient-provider relationship facilitates cooperation and provides greater opportunities to learn about a patient’s unique health needs. This enables providers to better connect patients with the treatments and resources to improve overall health.

How would your communication and interview techniques for building a health history differ with each patient? Before entering the room I would knock and wait for a response The first thing I would do upon entering the room would be a smile and introduction myself.  I would address the patient by his name and ask permission to sit in front of the patient, so I will have eye contact.  I would identify those problems that matters to the patient.  Questions should be tailored base on patient’s age, culture, and cognition (Ball el. al, 2019). Seeking clarity when needed to understand what the patient  is saying 76-year-old black male with disabilities living in an urban setting.

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How might you target your questions for building a health history based on the patient’s social determinants of health? Social determinants of health are the conditions in which people are born, grow, live, work and age that shape health. It’s important to understand that  reviewing the patient social determinants The spiritual, psychosocial, and cultural contexts of the patient’s life are essential to an understanding.  Asking the patients if he has any habits: like nutritional and diet; regularity and patterns of eating and sleeping; quantity of coffee, tea, tobacco, alcohol; Home conditions: housing, economic condition, types of furnishings, pets and their health.eligious and cultural preferences: any religious proscriptions concerning food, medical care; spiritual needs. Access to care: transportation and other resources available to patient, type of health insurance coverage (if any), worries in this regard, primary care provider, customary pattern of seeking care. Social needs: insurance/medication coverage, food insecurity, housing instability, employment assistance need. It is important to have the conversation. Addressing social determinants of health is important for improving health and reducing longstanding disparities in health and health care (Ball el. al, 2019).

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?  The Functional. The risk assessment tool that  I would  use  the Home Safety Self-Assessment Tool (HSSAT), this tool was developed to evaluate the living conditions of older adults and whether the home was a safe environment to prevent falls and also provide a space that older adults can stay in their home longer. (Horowitz, Nochajski, & Schweitzer, 2013, p.218). I would also do a functional assessment to prevent further loss of function and to maintain the self-care status of many elders. Performing an office-based functional assessment measures the elder’s ability to perform self-care 76-year-old black male with disabilities living in an urban setting.

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. Health risk assessment is an important in identifying risks with  chronic diseases, preventing  complications, and as well as to allowing  providers managed interventions that helps preventive care such as screening for potential health risks (Wu and Orlando, 2015). Obtaining the health history iis the baseline  for assessing the present concern. Major adult illnesses or chronic diseases: tuberculosis, hepatitis, diabetes, hypertension, myocardial infarction, heart disease, stroke, respiratory disease, tropical or parasitic diseases, other infections; any nonsurgical hospital admissions (Lushniak, 2015). Getting the health history is important to help improve health care .

Understanding an older patient’s usual level of functioning and knowing about any recent significant changes are fundamental to providing appropriate health care. The Functional Assessment tool would assist and leeting to provide know what the patient can do for example can the patient completed his ADL. Knowing the limitation of the disability will assist the provider and family to better care for the patient. A functional assessment is a multidimensional and often interdisciplinary diagnostic process, which assesses and quantifies an older adult’s medical, the patient, and family to develop a comprehensive plan for therapy and future care decisions and can also help in the process of long-term care decision-making (Ball el. al, 2019) 76-year-old black male with disabilities living in an urban setting.

Targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.  I would try to gather data before meeting with the patient. Request previous medical records or, if there is time, mail forms that the patient or a family member can complete at home (Ball el. al, 2019).

 1. What are areas do you think you need help in?

2. Do you live alone?

3. Do you feel safe in your home?
4. Have you fallen recently?
5. What medications are you currently taking and what method do you use to organize your medications?
6. Do you have family that visit?

References

Horowitz, B., Almonte, T., Kaur, S., & Vasil, A. (2016). Use of the home safety self assessment tool (hssat) within community health education to improve home safety. American Journal of Occupational Therapy, 70(4_Supplement_1), 7011510221p1. Retrieved September 1, 2021, from https://doi.org/10.5014/ajot.2016.70s1-po5081

Lushniak, B. D. (2015). Family health history: Using the past to improve future health. Public Health Reports, 130(1), 3–5. Retrieved September 12, 2021, from https://doi.org/10.1177/003335491513000102

Wu,, R. A., & Orlando,, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits | postgraduate medical journal [91 (1079), p 508-513.]. Retrieved September 1, 2021, from https://pmj.bmj.com/content/91/1079/508

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.). Elsevier Mosby.

By Day 6 of Week 1

response

It is crucial for Nurse Practitioners to develop and build a relationship with their patients as you indicated. Making patients feel comfortable physically and emotionally without being judgmental especially when interviewing an elderly patient is highly significant (Ball et al., 2019). Considering factors such as age, gender, functional abilities, culture, and environment that may have a significant impact on a patient’s wellbeing is crucial as well (Ball et al., 2019) 76-year-old black male with disabilities living in an urban setting.

Fall is a leading cause of death among the elderly and performing a comprehensive assessment will guide the practitioner in individualizing a plan of care for the patient. An assessment tool that can be utilized is the Berge Balance Scale; the screening tool used to measure patients’ mobility, balance, transfer, and gait (Landers et al., 2016). As people advance in age, various factors that can impact their health includes; a decline in cognition, life stress, illness, and physical limitations (Ball et al., 2019). It is therefore significant that clinicians have a sound knowledge of health assessment and be able to use different screening tools that would guide diagnosis, treatment, and plan of care (Wu & Orlando, 2015).

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

Landers, M. R., Oscar, S., Sasaoka, J., Vaughn, K. (2016, April). Balance confidence and fear of falling. Avoidance behavior is most predictive of falling in older adults: Prospective Analysis. Academic Journal, 433-442.

Wu, R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: barriers and benefits. Postgraduate Medical Journal, 91(1079), 508-513. http://pmj.bmj.com/content/91/1079/508 76-year-old black male with disabilities living in an urban setting