Posted: December 5th, 2022
According to a 2011 Gallup poll, nurses are ranked as the most trusted professionals in the United States. One of the most admired nursing skills is the ability to put patients at ease. When patients enter into a healthcare setting, they are often apprehensive about sharing personal health information. Caring nurses can alleviate the hesitance of patients and encourage them to be forthcoming with this information.
The initial health history interview can be an excellent opportunity to develop supportive relationships between patients and nurses. Nurses may employ a variety of communication skills and interview techniques to foster strong bonds with patients and to effectively facilitate the diagnostic process. In conducting interviews, advanced practice nurses must also take into account a range of patient-specific factors that may impact the questions they ask, how they ask those questions, and their complete assessment of the patient’s health. NURS 6512 Building a Health History Discussion
This week, you will consider how social determinants of health such as age, gender, ethnicity, and environmental situation impact the health and risk assessment of the patients you serve. You will also consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate 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. NURS 6512 Building a Health History Discussion
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
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
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. NURS 6512 Building a Health History Discussion
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Read a selection of your colleagues’ responses. NURS 6512 Building a Health History Discussion
Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches:
Great questions to ask a four-year-old child. I love working with pediatric populations because they will let the provider know how they actually feel. There are other questions I would ask this child to get an idea of how the living environment is – if your stuffed animals could talk, what would they say? What makes you happy? What makes you sad? In addition, I would further assess the child’s condition by examining the child to see how well he appears; how is he interacting with his grandmother; what are some of the cues that tell the provider that there may be a suspicion for child neglect or abuse. According to Bell and Condren (2016), communication with children and adolescents is an area that requires special attention. As clinicians, it is our duty ensure that the information being relayed is provided at a level that can be understood, to ensure patient safety as well as keep a child engaged in their own medical care and decision making. NURS 6512 Building a Health History Discussion
Bell, J., & Condren, M. (2016). Communication Strategies for Empowering and Protecting Children. The Journal of Pediatric Pharmacology and Therapeutics, 21(2), 176-184. NURS 6512 Building a Health History Discussion
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