Want create site? With Free visual composer you can do it easy.

NURS 6512 Discussion Building a Health History Essay

NURS 6512 Discussion Building a Health History Essay

 

The main question post for this discussion entails building a health history regarding a pre-school-aged white female living in a rural community. I would use a patient-centered care approach with techniques that included courtesy, comfort, connection, and confirmation during the interview to develop a rapport with the parent(s) and the patient (Ball et al., 2019). The discussion will focus on communication techniques, social determinants of health considerations, risk assessment tools, and targeted questions to improve the patient and the family’s wellbeing.

Communication and Interview Techniques

 I would review the pre-visit questionnaire and identify who was attending the patient before entering the exam room. Of note, if the person accompanying the child were not the parent, then I would check with my mentor the policies and procedures for my primary care setting. I would also review the patient’s History of Present Illness, Past Medical History, Surgeries, Allergies (medications, food, and environment), Current, Present, and Past Medications, and Family Health History.

The patient should be close to or held by the parent in a pediatric centered room that elicits reassurance for the pediatric patient. The room temperature should be comfortable. The furniture would be placed so that there were no barriers between the patient, parent(s), and myself (Ball et al., 2019). Decreasing physical barriers during the interview can facilitate a comfortable and engaging experience for the patient and parent(s).

I would knock before entering the room and introduce myself as a registered nurse and a student family nurse practitioner, working closely with an experienced mentor.

I would address the parent by their last name and ask how they would prefer I address their child (i.e., nickname). I would then say hello to the patient in a kind tone of voice and tell her that I am happy to meet her. My questions would be open-ended and non-leading, and I would courteously wait for them to answer the questions (Malloy & Stolzenberg, 2019). 

Considerations of Social Determinants of Health

            My patient is a pre-school-aged white female living in a rural community. One of my concerns would be access to health care providers. Nielson et al. (2019) report that 20% of Americans live in rural settings, but only 10% of primary care providers (PCP)provide medical service to these areas. Nielson et al. also report that the shortage of PCPs is expected to reach 25,000 by 2025 in rural communities. Another consideration would be access to urgent care or acute care facilities within a reasonable geographical area. Is the child exposed to lead paint if the houses are old? Does the child have access to clean water? Is there a grocery near them with access to fresh fruits and vegetables? Is there a good school district for the patient? Are there parks and sidewalks and safe places for the child to play? How old are the parents? What is the educational background of the parents? The age and educational background of the parents would be significant in terms of assessing health literacy. The parents’ religious or spiritual beliefs are also important considerations.

Questions Posed to Assess Health Risks

            My first question would be addressed to the parents, and I would ask what brought you in today? The following questions would revolve around the chief concern of the parents, and I would paraphrase their concern(s) and ask them if I understand their concerns. Once I established their chief concern(s), I would ask them what is their most important concern today? What do you think is going on with your child (if there is a concern)? How do you feel your child is doing? Tell me about your child? What kind of activities does she do during the day?

Potential Health Risks Based on Patient’s Age, Gender, and Ethnicity

            The patient is considered vulnerable because she is of pre-school age and is dependent on caregivers. She does not have an adult’s cognitive or physical abilities and needs her primary caregivers’ protection. The patient may not be able to verbalize if someone is abusing or neglecting them. The patient is also female and may be more vulnerable to sexual abuse (Melmer & Gutovitz, 2020). Health care providers have an ethical responsibility to protect their patients. The patient is white and should be screened for common genetic anomalies that affect white populations, such as Cystic Fibrosis.

Risk Assessment Tool

            The Safe Environment for Every Kid (SEEK) risk assessment tool would be mailed to the parents after the first interview. I would respectfully address any concerns raised once I reviewed the completed questionnaire (American Academy of Pediatrics, 2021). Using a risk assessment tool will help to assess the strengths and weaknesses of the parents or caregivers. Early identification of risks to the pediatric patient can be mitigated by providing the parents with educational resources the parents could use when necessary.

Targeted Risk Assessment Questions

The targeted questions that I would ask the parents would involve risk assessments: Is your child current with their vaccinations? Does your child have a car seat, and are you comfortable with how it works? What type of childproofing do you use for your home? When was the last time your child saw a dentist? How is potty training going?  How would you describe your child’s sleeping pattern? How would you describe your child’s eating habits? How often does your child attend daycare or pre-school? How often do you read to your child? How much time does your child spend watching television or on computer devices? Does she have any difficulties pronouncing words? Does anyone besides the parents take care of your daughter? I would assess if the pre-school child is meeting developmental milestones based on her age. Lastly, I would summarize the chief concern with the parent(s) and ask if there are any other questions or concerns for me before they leave. The parents would be given a written patient/parent educational handout after the visit (American Academy of Pediatrics, n.d.).

Conclusion

            Building a health history with a pediatric patient involves cooperation with the family and building a strong rapport based on respect and dignity. One of the most important aspects of becoming a successful family nurse practitioner is listening to the patient (and parents) and learning. Open-ended questions that are not leading allow a greater depth of building the patient’s history. Summarizing the visit with the patient and the parent is a helpful tool that improves communication. Risk assessment tools help to prioritize a plan of care for the patient (and their family). 

References

American Academy of Pediatrics. (n.d.). Bright futures tool kit, 2nd edition new.

https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/default.aspx

American Academy of Pediatrics. (2021). Screening tools.

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Screening/Pages/Screening-Tools.aspx 

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.

Malloy, L.C., & Stolzenberg, S.N. (2019, March). Editorial perspective: Questioning kids:

applying the lessons from the developmentally sensitive investigative interviewing to the research context. Journal Child Psychology Psychiatry, 60(30), 325-327. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017956/

Melmer, M.N., & Gutovitz, S. (2020, November 20). Child sexual abuse and neglect. In:

StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470563/

Nielson, M., D’Agostino, D., & Gregory, P. (2017). Addressing rural health challenges head

  1. Missouri Medicine, 114(5), 363-366.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140198/

Bottom of Form

 

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:

  • 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?
  • 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.

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.

By Day 6 of Week 1

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:

  • Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
  • Suggest additional health-related risks that might be considered.
  • Validate an idea with your own experience and additional research.

Submission and Grading Information

Grading Criteria

 

To access your rubric:

Week 1 Discussion Rubric

 

Post by Day 3 of Week 1 and Respond by Day 6 of Week 1

 

To Participate in this Discussion:

Week 1 Discussion

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History Essay

What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 2, you explore the impact of functional assessments, diversity, and sensitivity in conducting health assessments. You also

NURS 6512 Discussion Building a Health History Essay

NURS 6512 Discussion Building a Health History Essay

examine various assessment tools and diagnostic tests used to gather information about patients’ conditions and examine their validity, reliability, and impact in conducting health assessments.

Next week, you will specifically examine functional assessments as they relate to diversity and sensitivity

Registration for Shadow Health

Throughout this course, you will participate in digital clinical experiences using the online simulation tool Shadow Health. The Shadow Health digital clinical experience provides a dynamic, immersive experience designed to improve nursing skills and clinical reasoning through the examination of digital standardized patients. Using Shadow Health you will participate in health histories, focused exams, and a comprehensive assessment.

There will be four Shadow Health assessment components that you will need to complete in Module’s 2 and 3:

  • Health History Assessment (Week 3 & 4)
  • Focused Exam: Cough (Week 5) for a pediatric patient presenting with cough
  • Focused Exam: Chest Pain (Week 7) for an adult patient presenting with chest pain
  • Comprehensive (Head-to-Toe) Physical Assessment (Week 9)

Before you can participate in these simulations, you will need to register for a Shadow Health account. To do this:

  • Go to the Walden Bookstore and purchase access to Shadow Health and the required texts.
  • Once Shadow Health has been purchased, an access code will be emailed to you from the bookstore.
  • Review this video explaining how to register in Shadow Health: https://vimeo.com/275921826/c12d50ee6e
  • Use the Shadow Health link located in the navigation menu on the left in the Blackboard course.
  • Follow the prompts to register in Shadow Health. You will need the access code provided from the bookstore to register. Once registered, Shadow Health should always be accessed via the link in Blackboard.
  • Use only Google Chrome when accessing Shadow Health and make sure all other programs are turned off on your computer. Other browsers do not work well and will not allow the Shadow Health speech to text function to work.
  •  Once registered, complete the Shadow Health Orientation in the Shadow Health website/program and review the videos designed to assist with navigating and completing assignments.
  • Read the Shadow Health Nursing Documentation Tutorial located in the Week 1 Learning Resources.

Note: As nurses you typically use the word assessment to mean completing the physical exam. However, in the SOAP Note format, assessment means diagnosis so start getting in the habit of calling the physical exam exactly that.

Week 2 Case Studies

In Week 2, your Instructor will assign you a case study related to your Discussion by Day 1 of the week. Please make sure to review the “Course Announcements” area of the course to verify your assigned case study. Please plan ahead to ensure you have time to review your case study and your Learning Resources so that you can complete your Discussions and Assignments on time.

Photo Credit: Getty Images/iStockphoto

Practicum – Upcoming Deadline

In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

Next Module

 

To go to the next module:

Module 2

 

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_6512_Week_1_Discussion_Rubric

  Excellent Good Fair Poor
Main Posting Points Range: 45 (45%) – 50 (50%)

“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.

Points Range: 40 (40%) – 44 (44%)

“Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)

“Responds to some of the Discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)

“Does not respond to the Discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness Points Range: 10 (10%) – 10 (10%)

Posts main post by Day 3.

Points Range: 0 (0%) – 0 (0%)

N/A

Points Range: 0 (0%) – 0 (0%)

N/A

Points Range: 0 (0%) – 0 (0%)

Does not post main post by Day 3.

First Response Points Range: 17 (17%) – 18 (18%)

“Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)

“Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)

“Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)

“Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.

Second Response Points Range: 16 (16%) – 17 (17%)

“Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)

“Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)

“Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 11 (11%)

“Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.

Participation Points Range: 5 (5%) – 5 (5%)

Meets requirements for participation by posting on three different days.

Points Range: 0 (0%) – 0 (0%)

N/A

Points Range: 0 (0%) – 0 (0%)

N/A

Points Range: 0 (0%) – 0 (0%)

Does not meet requirements for participation by posting on three different days.

Total Points: 100  

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History Essay

 

 

Did you find apk for android? You can find new Free Android Games and apps.