Sample Answer for NURS 6512 Discussion Building a Health History PEER POSTS1 Included After Question<\/strong><\/em><\/h2>\nEffective communication is vital to constructing an accurate and detailed patient history. A patient\u2019s 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\u2019 health risks.<\/p>\n
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.<\/p>\n
Resources<\/strong><\/h2>\nBe sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.<\/p>\n
WEEKLY RESOURCES<\/strong><\/a><\/h2>\nTo prepare:<\/strong><\/h3>\nWith the information presented in Chapter 2 of Ball et al. in mind, consider the following:<\/p>\n
\n- By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note<\/strong>: Please see the \u201cCourse Announcements\u201d section of the classroom for your new patient profile assignment.<\/li>\n
- How would your communication and interview techniques for building a health history differ with each patient?<\/li>\n
- How might you target your questions for building a health history based on the patient\u2019s social determinants of health?<\/li>\n
- 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?<\/li>\n
- Identify any potential health-related risks based upon the patient\u2019s age, gender, ethnicity, or environmental setting that should be taken into consideration.<\/li>\n
- Select\u00a0one<\/strong>\u00a0of the risk assessment instruments presented in Chapter 2 or Chapter 5 of the\u00a0Seidel’s Guide to Physical Examination<\/em>\u00a0text, or another tool with which you are familiar, related to your selected patient.<\/li>\n
- Develop\u00a0at least five<\/strong>\u00a0targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.<\/li>\n<\/ul>\n
By Day 3 of Week 1<\/strong><\/h2>\nPost\u00a0<\/strong>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.<\/p>\nNote:\u00a0<\/em><\/strong>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\u00a0Reply<\/strong>\u00a0button to complete your initial post. Remember, once you click on\u00a0Post Reply<\/strong>, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on\u00a0Post Reply<\/strong>! \u00a0\u00a0<\/em><\/p>\nRead a selection of your colleagues\u2019 responses.<\/strong><\/p>\nBy Day 6 of Week 1<\/strong><\/h2>\nRespond\u00a0<\/strong>to\u00a0at least two<\/strong>\u00a0of your colleagues\u00a0on 2 different days<\/strong>\u00a0who selected a different patient than you, using one or more of the following approaches:<\/p>\n\n- Share additional interview and communication techniques that could be effective with your colleague\u2019s selected patient.<\/li>\n
- Suggest additional health-related risks that might be considered.<\/li>\n
- Validate an idea with your own experience and additional research<\/li>\n<\/ul>\n
A Sample Answer For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nBeing able to obtain a comprehensive health history<\/a> for a patient is important in developing a treatment plan for them.\u00a0 The purpose of this discussion post is to discuss interview techniques I would use for an 85-year-old white female living alone with declining health.\u00a0 I will talk about the risk assessment instrument I would use and why.\u00a0 Lastly, I will list five targeted questions I would ask to assess her health to start building a health history.<\/p>\nThe first meeting with any patient is so important to build a good relationship and partnership from the start (Ball et al., 2019).\u00a0 With this patient being 85 and living alone there will be a lot to consider when interviewing her.\u00a0 I will need to establish is she is mentally with it, if she has hearing problems, and how much she understands about her health.\u00a0 Older adults often assume certain problems are just normal parts of aging and not anything to be considered (Ball et al., 2019).\u00a0 Often, older adults can also experience agism (Garrison-Diehn et al., 2022).\u00a0 Even in health care settings older adults experience feelings of incompetence and being a burden (Garrison-Diehn et al., 2022).\u00a0 It will be important to make sure she feels comfortable speaking to me knowing there is no bias or judgement.<\/p>\n
The risk assessment<\/a> I would do for this patient is the functional assessment.\u00a0 This is an older lady who lives alone.\u00a0 It will be essential to figure out how well she is able to function on her own.\u00a0 One of the biggest risks for older patients is falling.\u00a0 Falling is associated with adverse outcomes that can lead to a patient not being able to live at home anymore along with increased mortality (Snehal et al., 2020).\u00a0 The functional assessment would give information regarding how well she can move around the house, is she is able to keep a clean environment, how meals are prepared, how she goes to the bathroom, and keeps good hygiene (Ball et al, 2019).\u00a0 All these issues are going to contribute to her overall health.\u00a0 It is important to gather this information to determine what assistance, if any, she will need.<\/p>\nAfter introducing myself and establishing how the patient would like to be addressed, I would start by simply asking \u201cWhat brings you in today?\u201d\u00a0 This is a way to find out what her chief complaint is for coming in.\u00a0 My second question would be \u201cWhen did this start?\u201d\u00a0 This brings the patient back to the beginning and prompts them to tell the whole story regarding why they came in.\u00a0 My third question would be \u201cWhat medications do you take on a regular basis and what are they for?\u201d\u00a0 In my experience patients may or may not even know what they are taking, let alone why they are taking them.\u00a0 It can also lead to her discussing if she is compliant with her medications.\u00a0 To follow that, my fourth question would be \u201cWhat medical problems do you have?\u201d\u00a0 Before going through a formal review of systems, this can give a clue to what she considers to be important in her history.\u00a0 \u00a0My last question would be \u201cHow well do you feel you are able to take care of yourself at home?\u201d\u00a0 This is an open-ended question to gain some insight on the functional assessment.\u00a0 If the patient\u2019s initial chief complaint is not urgent it is okay to give the patient some time while understanding the time constraints of you as the provider (Ball et al., 2019).<\/p>\n
Establishing a relationship with patients and getting a thorough health history can be a daunting task for providers.\u00a0 It is key to tailor interviewing skills to meet patient specific needs.\u00a0 Modifying interview skills to the individual will eliminate communication barriers between the provider and patient (Bass et al., 2019).\u00a0 Creating a strong relationship with the patient will allow the nurse practitioner to obtain the most comprehensive health history and provide the best possible care to clients.<\/p>\n
References:<\/h2>\n
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 <\/em>(9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\nGarrison-Diehn, C., Rummel, C., Au, Y. H., & Scherer, K. (2022). Attitudes toward older adults and aging: A foundational geropsychology knowledge competency. Clinical Psychology: Science and Practice, 29<\/em>(1), 4\u201315. https:\/\/doi.org\/10.1037\/cps0000043<\/a><\/p>\nSnehal, K., Rashmi, G., & Aarti, N. (2020). Risk factors for fear of falling in older adults in India. Journal of Public Health, 28<\/em>(2), 123-129. doi:https:\/\/doi.org\/10.1007\/s10389-019-01061-9<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/h3>\nA Sample Answer 2 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nI enjoyed reading your post about communication with an 85 year old patient. It is important to build a report with the patient so they feel comfortable speaking with you. When evaluating the patient to find out if they are mentally intact it is important to not lead them to answers. Even though the patient has a decline in her health she may be mentally still intact. Open ended questions are important because it allows the patient to express themselves. This may help you find out if they are understanding the question or are they trying to hide any deficits. \u00a0Using closed ended questions can also help you identify how their memory is. Providing questions with random words to remember will help you assess this piece of brain functionality when it comes to remembering things. It is important to know where the patient is at with memory and cognitively because this can raise some red flags when it comes to safety in their home. When I worked in home care as a care coordinator I had done many evaluations of elderly people in my community to see if they are safe to be at home or are they needing a different level of care. I was able to help family members realize safety concerns for the patient by being able to do these assessments.<\/p>\n
One question that ended up coming up a lot was will the patient remember they are cooking something or are they at risk of starting a fire. During one of my evaluations I ended up finding that the patient was not safe to cook in the home. I ended up having to unplug the stove and the other cooking devices with the help of the family members until they were able to get the patient placed with a higher level of care. It would also be important to do a fall assessment on this patient to see if there are risks for falls and if the patient did have a fall would their be away they could alert someone if they got injured. Walking around and doing a survey of the home was part of these assessments. I also observed the patient while they went about doing their normal routine without correcting them because I would want to see what they would do if I was not there. If it became too much of a risk than I would stop and make note of findings while making sure the patient is safe. When asking the patient questions, I will not dominate the conversation. I will actively listen by providing non-verbal cues to the patient that shows that I am listening to the patient when they are speaking while not leading the patient to answers during the evaluation of their safety in their home.<\/p>\n![\"NURS](\"https:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2023\/03\/NURS-6512-Discussion-Building-a-Health-History-PEER-POSTS1-300x136.png\")
NURS 6512 Discussion Building a Health History PEER POSTS1<\/figcaption><\/figure>\nReferences:<\/h2>\n
Ball, J., 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.<\/p>\n
Mayo Foundation for Medical Education and Research. (n.d.). Physical Medicine and Rehabilitation. Mayo Clinic. Retrieved June 4, 2022, from<\/p>\n
A Sample Answer 3 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nIntroduction<\/strong><\/h3>\nMy assignment is based on working with an 85-year-old white female living alone with no family in declining health. While working on this task, I assume the patient is my mother, and I interrogate him with empathy, knowing that she is an elderly person who is likely to be more isolated and lonelier than individuals living\u00a0with their loved ones. Here,\u00a0I need to create an interviewing strategy to employ in assessing this patient’s medical condition, taking into account his advanced age that his health is declining.<\/p>\n
Communication is a difficult endeavor that requires\u00a0empathy and courtesy,\u00a0especially when dealing with senior individuals. It’s critical to observe, listen, and gather information when pertinent information is offered when speaking with these kinds of patients. To preserve a constant pace with the patient, the medical practitioner not only should go slowly and be very patient (Ball et al., 2019). Furthermore, by observing, the healthcare professional can connect to and be brought into the environment of the elderly. It is critical to comprehend the participant’s reality and the circumstances that may impact their responses. It’s critical for health care professionals to establish a good connection with patients in\u00a0the interview session to create a favorable interaction.<\/p>\n
The nurse tells the patient to introduce themselves to create familiarity and as the patient settles in the interview. Showing sincerity is vital while getting to know the social circle’s nature and the living condition of the patient. The questions could be personal, but they are meant to know the situation of the healthcare provider.<\/p>\n
Target Health Question<\/strong><\/h2>\nThe impact of social determinants on patient health is an important issue to consider when assessing a patient’s health. \u00a0Food availability, social support,\u00a0social position, and low-income levels, are all closely linked to premature death and higher incidents of sickness, based on empirical evidence. Inquiring into social determinants of health and how they affect the patient’s health can be a touchy subject (Ryan, 2019). As a result, I’d organize my queries in a way that respects the older patient while also demonstrating\u00a0empathy and sincerity\u00a0for their plight. Moreover, because such individuals may have difficulties communicating their conditions and ideas, I would be using effective listening skills.<\/p>\n
Risk Assessment<\/strong><\/h2>\nThe arranging of the patient’s health record through the Subjective Objective Assessment (SOAP)\u00a0and\u00a0Plan Problem Oriented Medical Record (POMR)\u00a0would be appropriate tools for the assessment of this patient. The POMR tool is an effective instrument as it provides for a thorough\u00a0recording and assessment\u00a0of medical information about a patient (Pdhi.com, 2022). Furthermore, it enables the collection of data from all\u00a0care team members\u00a0in order to ascertain the diagnosis and develop an empirical medication regimen. POMRs often include the patient’s condition, complaints, test findings, and a care plan that enables the medical practitioner to address each issue individually, write patient records, and a review of discharge with instructions for follow-up (Feldman et al., 2021).<\/p>\n
Health-Related Risk<\/strong><\/h2>\nSince the patient is elderly and has a declining health status, there are certain risks that are mainly linked to social health determinants. Old age put the patient at risk of falling (Abdi et al., 2019). As such, the health care provider should investigate if she has already incurred any injuries from falling.<\/p>\n
Five Target Questions<\/strong><\/h2>\nOn the first encounter, it is vital to first build a connection and therapeutic relationship with the patient to make them comfortable to open up. This way, there would be mutual understanding, which is essential in knowing the needs of the patients. Some of the questions, I would ask include;<\/p>\n
\n- Do you experience any pains?<\/li>\n
- What do you think could be the reasons for your symptoms?<\/li>\n
- Are you under any medication?<\/li>\n
- What do you think of your quality of life?<\/li>\n
- Have any medications triggered any allergies in you?<\/li>\n<\/ol>\n
References<\/strong><\/h2>\nAbdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF).\u00a0BMC Geriatrics<\/em>,\u00a019<\/em>(1). https:\/\/doi.org\/10.1186\/s12877-019-1189-9<\/a><\/p>\n <\/p>\n
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<\/p>\n
Feldman, R., Chiu, M., Lawson, A., & Sadavoy, J. (2021). Evaluating Caregiver Risk: The Dementia Caregiver Interview Guide.\u00a0Psych<\/em>,\u00a03<\/em>(4), 552-561. https:\/\/doi.org\/10.3390\/psych3040036<\/a><\/p>\nPdhi.com. (2022).\u00a0What is a Health Risk Assessment? | ConXus Platform<\/em>. Pdhi.com. Retrieved 2 June 2022, from https:\/\/www.pdhi.com\/ncqa\/what-is-a-health-risk-assessment\/.<\/a><\/p>\nRyan, L. (2019). Clinical Applications of a Smart Physical Examination System for the Health Management in Elderly.\u00a0Case Medical Research<\/em>. https:\/\/doi.org\/10.31525\/ct1-nct03858660<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/p>\nA Sample Answer 4 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nYour case was quite an interesting one to research. Omenka, Watson, and Hendrie (2020) conducted a scoping review of African immigrants’ health disparities. Scoping studies are a type of research to identify available evidence or gaps on a subject of interest (Munn et al., n.d.). With that said, Omenka, Watson, and Hendrie (2020) found little research has been specifically conducted on African immigrants; instead, the researchers found African immigrants were being grouped in research studies conducted on African Americans. On that note, I find it important to differentiate the health and spiritual beliefs of both cultures so that, as clinicians, we can provide culturally competent care.<\/p>\n
I agree with your statement on creating a safe zone for the patient before conducting sexual history assessment; this will build trust and the patient will be willing to openly share personal health history. According to Omenka, Watson, and Hendrie (2020), African immigrants view HIV as a spiritual problem and are more likely to seek medical attention when a disease is in its advanced stages. Hence, the importance of early intervention is important.<\/p>\n
Additional interview questions that may be of value in this situation may be to ask, \u201ccan you tell me how you view illness?\u201d and Ball et al. (2019) suggests asking, \u201cwhat do I need to know as your clinician to provide care for you?\u201d Likewise, Ball et al. (2019) suggest not pressing an issue when communicating with patients. Great post.<\/p>\n
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<\/em> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\nMunn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (n.d.). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18<\/em>. https:\/\/doi-org.ezp.waldenulibrary.org\/10.1186\/s12874-018-0611-x<\/a><\/p>\n
Be sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.<\/p>\n
WEEKLY RESOURCES<\/strong><\/a><\/h2>\nTo prepare:<\/strong><\/h3>\nWith the information presented in Chapter 2 of Ball et al. in mind, consider the following:<\/p>\n
\n- By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note<\/strong>: Please see the \u201cCourse Announcements\u201d section of the classroom for your new patient profile assignment.<\/li>\n
- How would your communication and interview techniques for building a health history differ with each patient?<\/li>\n
- How might you target your questions for building a health history based on the patient\u2019s social determinants of health?<\/li>\n
- 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?<\/li>\n
- Identify any potential health-related risks based upon the patient\u2019s age, gender, ethnicity, or environmental setting that should be taken into consideration.<\/li>\n
- Select\u00a0one<\/strong>\u00a0of the risk assessment instruments presented in Chapter 2 or Chapter 5 of the\u00a0Seidel’s Guide to Physical Examination<\/em>\u00a0text, or another tool with which you are familiar, related to your selected patient.<\/li>\n
- Develop\u00a0at least five<\/strong>\u00a0targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.<\/li>\n<\/ul>\n
By Day 3 of Week 1<\/strong><\/h2>\nPost\u00a0<\/strong>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.<\/p>\nNote:\u00a0<\/em><\/strong>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\u00a0Reply<\/strong>\u00a0button to complete your initial post. Remember, once you click on\u00a0Post Reply<\/strong>, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on\u00a0Post Reply<\/strong>! \u00a0\u00a0<\/em><\/p>\nRead a selection of your colleagues\u2019 responses.<\/strong><\/p>\nBy Day 6 of Week 1<\/strong><\/h2>\nRespond\u00a0<\/strong>to\u00a0at least two<\/strong>\u00a0of your colleagues\u00a0on 2 different days<\/strong>\u00a0who selected a different patient than you, using one or more of the following approaches:<\/p>\n\n- Share additional interview and communication techniques that could be effective with your colleague\u2019s selected patient.<\/li>\n
- Suggest additional health-related risks that might be considered.<\/li>\n
- Validate an idea with your own experience and additional research<\/li>\n<\/ul>\n
A Sample Answer For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nBeing able to obtain a comprehensive health history<\/a> for a patient is important in developing a treatment plan for them.\u00a0 The purpose of this discussion post is to discuss interview techniques I would use for an 85-year-old white female living alone with declining health.\u00a0 I will talk about the risk assessment instrument I would use and why.\u00a0 Lastly, I will list five targeted questions I would ask to assess her health to start building a health history.<\/p>\nThe first meeting with any patient is so important to build a good relationship and partnership from the start (Ball et al., 2019).\u00a0 With this patient being 85 and living alone there will be a lot to consider when interviewing her.\u00a0 I will need to establish is she is mentally with it, if she has hearing problems, and how much she understands about her health.\u00a0 Older adults often assume certain problems are just normal parts of aging and not anything to be considered (Ball et al., 2019).\u00a0 Often, older adults can also experience agism (Garrison-Diehn et al., 2022).\u00a0 Even in health care settings older adults experience feelings of incompetence and being a burden (Garrison-Diehn et al., 2022).\u00a0 It will be important to make sure she feels comfortable speaking to me knowing there is no bias or judgement.<\/p>\n
The risk assessment<\/a> I would do for this patient is the functional assessment.\u00a0 This is an older lady who lives alone.\u00a0 It will be essential to figure out how well she is able to function on her own.\u00a0 One of the biggest risks for older patients is falling.\u00a0 Falling is associated with adverse outcomes that can lead to a patient not being able to live at home anymore along with increased mortality (Snehal et al., 2020).\u00a0 The functional assessment would give information regarding how well she can move around the house, is she is able to keep a clean environment, how meals are prepared, how she goes to the bathroom, and keeps good hygiene (Ball et al, 2019).\u00a0 All these issues are going to contribute to her overall health.\u00a0 It is important to gather this information to determine what assistance, if any, she will need.<\/p>\nAfter introducing myself and establishing how the patient would like to be addressed, I would start by simply asking \u201cWhat brings you in today?\u201d\u00a0 This is a way to find out what her chief complaint is for coming in.\u00a0 My second question would be \u201cWhen did this start?\u201d\u00a0 This brings the patient back to the beginning and prompts them to tell the whole story regarding why they came in.\u00a0 My third question would be \u201cWhat medications do you take on a regular basis and what are they for?\u201d\u00a0 In my experience patients may or may not even know what they are taking, let alone why they are taking them.\u00a0 It can also lead to her discussing if she is compliant with her medications.\u00a0 To follow that, my fourth question would be \u201cWhat medical problems do you have?\u201d\u00a0 Before going through a formal review of systems, this can give a clue to what she considers to be important in her history.\u00a0 \u00a0My last question would be \u201cHow well do you feel you are able to take care of yourself at home?\u201d\u00a0 This is an open-ended question to gain some insight on the functional assessment.\u00a0 If the patient\u2019s initial chief complaint is not urgent it is okay to give the patient some time while understanding the time constraints of you as the provider (Ball et al., 2019).<\/p>\n
Establishing a relationship with patients and getting a thorough health history can be a daunting task for providers.\u00a0 It is key to tailor interviewing skills to meet patient specific needs.\u00a0 Modifying interview skills to the individual will eliminate communication barriers between the provider and patient (Bass et al., 2019).\u00a0 Creating a strong relationship with the patient will allow the nurse practitioner to obtain the most comprehensive health history and provide the best possible care to clients.<\/p>\n
References:<\/h2>\n
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 <\/em>(9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\nGarrison-Diehn, C., Rummel, C., Au, Y. H., & Scherer, K. (2022). Attitudes toward older adults and aging: A foundational geropsychology knowledge competency. Clinical Psychology: Science and Practice, 29<\/em>(1), 4\u201315. https:\/\/doi.org\/10.1037\/cps0000043<\/a><\/p>\nSnehal, K., Rashmi, G., & Aarti, N. (2020). Risk factors for fear of falling in older adults in India. Journal of Public Health, 28<\/em>(2), 123-129. doi:https:\/\/doi.org\/10.1007\/s10389-019-01061-9<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/h3>\nA Sample Answer 2 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nI enjoyed reading your post about communication with an 85 year old patient. It is important to build a report with the patient so they feel comfortable speaking with you. When evaluating the patient to find out if they are mentally intact it is important to not lead them to answers. Even though the patient has a decline in her health she may be mentally still intact. Open ended questions are important because it allows the patient to express themselves. This may help you find out if they are understanding the question or are they trying to hide any deficits. \u00a0Using closed ended questions can also help you identify how their memory is. Providing questions with random words to remember will help you assess this piece of brain functionality when it comes to remembering things. It is important to know where the patient is at with memory and cognitively because this can raise some red flags when it comes to safety in their home. When I worked in home care as a care coordinator I had done many evaluations of elderly people in my community to see if they are safe to be at home or are they needing a different level of care. I was able to help family members realize safety concerns for the patient by being able to do these assessments.<\/p>\n
One question that ended up coming up a lot was will the patient remember they are cooking something or are they at risk of starting a fire. During one of my evaluations I ended up finding that the patient was not safe to cook in the home. I ended up having to unplug the stove and the other cooking devices with the help of the family members until they were able to get the patient placed with a higher level of care. It would also be important to do a fall assessment on this patient to see if there are risks for falls and if the patient did have a fall would their be away they could alert someone if they got injured. Walking around and doing a survey of the home was part of these assessments. I also observed the patient while they went about doing their normal routine without correcting them because I would want to see what they would do if I was not there. If it became too much of a risk than I would stop and make note of findings while making sure the patient is safe. When asking the patient questions, I will not dominate the conversation. I will actively listen by providing non-verbal cues to the patient that shows that I am listening to the patient when they are speaking while not leading the patient to answers during the evaluation of their safety in their home.<\/p>\nNURS 6512 Discussion Building a Health History PEER POSTS1<\/figcaption><\/figure>\nReferences:<\/h2>\n
Ball, J., 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.<\/p>\n
Mayo Foundation for Medical Education and Research. (n.d.). Physical Medicine and Rehabilitation. Mayo Clinic. Retrieved June 4, 2022, from<\/p>\n
A Sample Answer 3 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nIntroduction<\/strong><\/h3>\nMy assignment is based on working with an 85-year-old white female living alone with no family in declining health. While working on this task, I assume the patient is my mother, and I interrogate him with empathy, knowing that she is an elderly person who is likely to be more isolated and lonelier than individuals living\u00a0with their loved ones. Here,\u00a0I need to create an interviewing strategy to employ in assessing this patient’s medical condition, taking into account his advanced age that his health is declining.<\/p>\n
Communication is a difficult endeavor that requires\u00a0empathy and courtesy,\u00a0especially when dealing with senior individuals. It’s critical to observe, listen, and gather information when pertinent information is offered when speaking with these kinds of patients. To preserve a constant pace with the patient, the medical practitioner not only should go slowly and be very patient (Ball et al., 2019). Furthermore, by observing, the healthcare professional can connect to and be brought into the environment of the elderly. It is critical to comprehend the participant’s reality and the circumstances that may impact their responses. It’s critical for health care professionals to establish a good connection with patients in\u00a0the interview session to create a favorable interaction.<\/p>\n
The nurse tells the patient to introduce themselves to create familiarity and as the patient settles in the interview. Showing sincerity is vital while getting to know the social circle’s nature and the living condition of the patient. The questions could be personal, but they are meant to know the situation of the healthcare provider.<\/p>\n
Target Health Question<\/strong><\/h2>\nThe impact of social determinants on patient health is an important issue to consider when assessing a patient’s health. \u00a0Food availability, social support,\u00a0social position, and low-income levels, are all closely linked to premature death and higher incidents of sickness, based on empirical evidence. Inquiring into social determinants of health and how they affect the patient’s health can be a touchy subject (Ryan, 2019). As a result, I’d organize my queries in a way that respects the older patient while also demonstrating\u00a0empathy and sincerity\u00a0for their plight. Moreover, because such individuals may have difficulties communicating their conditions and ideas, I would be using effective listening skills.<\/p>\n
Risk Assessment<\/strong><\/h2>\nThe arranging of the patient’s health record through the Subjective Objective Assessment (SOAP)\u00a0and\u00a0Plan Problem Oriented Medical Record (POMR)\u00a0would be appropriate tools for the assessment of this patient. The POMR tool is an effective instrument as it provides for a thorough\u00a0recording and assessment\u00a0of medical information about a patient (Pdhi.com, 2022). Furthermore, it enables the collection of data from all\u00a0care team members\u00a0in order to ascertain the diagnosis and develop an empirical medication regimen. POMRs often include the patient’s condition, complaints, test findings, and a care plan that enables the medical practitioner to address each issue individually, write patient records, and a review of discharge with instructions for follow-up (Feldman et al., 2021).<\/p>\n
Health-Related Risk<\/strong><\/h2>\nSince the patient is elderly and has a declining health status, there are certain risks that are mainly linked to social health determinants. Old age put the patient at risk of falling (Abdi et al., 2019). As such, the health care provider should investigate if she has already incurred any injuries from falling.<\/p>\n
Five Target Questions<\/strong><\/h2>\nOn the first encounter, it is vital to first build a connection and therapeutic relationship with the patient to make them comfortable to open up. This way, there would be mutual understanding, which is essential in knowing the needs of the patients. Some of the questions, I would ask include;<\/p>\n
\n- Do you experience any pains?<\/li>\n
- What do you think could be the reasons for your symptoms?<\/li>\n
- Are you under any medication?<\/li>\n
- What do you think of your quality of life?<\/li>\n
- Have any medications triggered any allergies in you?<\/li>\n<\/ol>\n
References<\/strong><\/h2>\nAbdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF).\u00a0BMC Geriatrics<\/em>,\u00a019<\/em>(1). https:\/\/doi.org\/10.1186\/s12877-019-1189-9<\/a><\/p>\n <\/p>\n
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<\/p>\n
Feldman, R., Chiu, M., Lawson, A., & Sadavoy, J. (2021). Evaluating Caregiver Risk: The Dementia Caregiver Interview Guide.\u00a0Psych<\/em>,\u00a03<\/em>(4), 552-561. https:\/\/doi.org\/10.3390\/psych3040036<\/a><\/p>\nPdhi.com. (2022).\u00a0What is a Health Risk Assessment? | ConXus Platform<\/em>. Pdhi.com. Retrieved 2 June 2022, from https:\/\/www.pdhi.com\/ncqa\/what-is-a-health-risk-assessment\/.<\/a><\/p>\nRyan, L. (2019). Clinical Applications of a Smart Physical Examination System for the Health Management in Elderly.\u00a0Case Medical Research<\/em>. https:\/\/doi.org\/10.31525\/ct1-nct03858660<\/a><\/p>\nClick here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/p>\nA Sample Answer 4 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\nYour case was quite an interesting one to research. Omenka, Watson, and Hendrie (2020) conducted a scoping review of African immigrants’ health disparities. Scoping studies are a type of research to identify available evidence or gaps on a subject of interest (Munn et al., n.d.). With that said, Omenka, Watson, and Hendrie (2020) found little research has been specifically conducted on African immigrants; instead, the researchers found African immigrants were being grouped in research studies conducted on African Americans. On that note, I find it important to differentiate the health and spiritual beliefs of both cultures so that, as clinicians, we can provide culturally competent care.<\/p>\n
I agree with your statement on creating a safe zone for the patient before conducting sexual history assessment; this will build trust and the patient will be willing to openly share personal health history. According to Omenka, Watson, and Hendrie (2020), African immigrants view HIV as a spiritual problem and are more likely to seek medical attention when a disease is in its advanced stages. Hence, the importance of early intervention is important.<\/p>\n
Additional interview questions that may be of value in this situation may be to ask, \u201ccan you tell me how you view illness?\u201d and Ball et al. (2019) suggests asking, \u201cwhat do I need to know as your clinician to provide care for you?\u201d Likewise, Ball et al. (2019) suggest not pressing an issue when communicating with patients. Great post.<\/p>\n
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<\/em> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\nMunn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (n.d.). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18<\/em>. https:\/\/doi-org.ezp.waldenulibrary.org\/10.1186\/s12874-018-0611-x<\/a><\/p>\n
With the information presented in Chapter 2 of Ball et al. in mind, consider the following:<\/p>\n
- \n
- By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note<\/strong>: Please see the \u201cCourse Announcements\u201d section of the classroom for your new patient profile assignment.<\/li>\n
- How would your communication and interview techniques for building a health history differ with each patient?<\/li>\n
- How might you target your questions for building a health history based on the patient\u2019s social determinants of health?<\/li>\n
- 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?<\/li>\n
- Identify any potential health-related risks based upon the patient\u2019s age, gender, ethnicity, or environmental setting that should be taken into consideration.<\/li>\n
- Select\u00a0one<\/strong>\u00a0of the risk assessment instruments presented in Chapter 2 or Chapter 5 of the\u00a0Seidel’s Guide to Physical Examination<\/em>\u00a0text, or another tool with which you are familiar, related to your selected patient.<\/li>\n
- Develop\u00a0at least five<\/strong>\u00a0targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.<\/li>\n<\/ul>\n
By Day 3 of Week 1<\/strong><\/h2>\n
Post\u00a0<\/strong>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.<\/p>\n
Note:\u00a0<\/em><\/strong>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\u00a0Reply<\/strong>\u00a0button to complete your initial post. Remember, once you click on\u00a0Post Reply<\/strong>, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on\u00a0Post Reply<\/strong>! \u00a0\u00a0<\/em><\/p>\n
Read a selection of your colleagues\u2019 responses.<\/strong><\/p>\n
By Day 6 of Week 1<\/strong><\/h2>\n
Respond\u00a0<\/strong>to\u00a0at least two<\/strong>\u00a0of your colleagues\u00a0on 2 different days<\/strong>\u00a0who selected a different patient than you, using one or more of the following approaches:<\/p>\n
- \n
- Share additional interview and communication techniques that could be effective with your colleague\u2019s selected patient.<\/li>\n
- Suggest additional health-related risks that might be considered.<\/li>\n
- Validate an idea with your own experience and additional research<\/li>\n<\/ul>\n
A Sample Answer For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Being able to obtain a comprehensive health history<\/a> for a patient is important in developing a treatment plan for them.\u00a0 The purpose of this discussion post is to discuss interview techniques I would use for an 85-year-old white female living alone with declining health.\u00a0 I will talk about the risk assessment instrument I would use and why.\u00a0 Lastly, I will list five targeted questions I would ask to assess her health to start building a health history.<\/p>\n
The first meeting with any patient is so important to build a good relationship and partnership from the start (Ball et al., 2019).\u00a0 With this patient being 85 and living alone there will be a lot to consider when interviewing her.\u00a0 I will need to establish is she is mentally with it, if she has hearing problems, and how much she understands about her health.\u00a0 Older adults often assume certain problems are just normal parts of aging and not anything to be considered (Ball et al., 2019).\u00a0 Often, older adults can also experience agism (Garrison-Diehn et al., 2022).\u00a0 Even in health care settings older adults experience feelings of incompetence and being a burden (Garrison-Diehn et al., 2022).\u00a0 It will be important to make sure she feels comfortable speaking to me knowing there is no bias or judgement.<\/p>\n
The risk assessment<\/a> I would do for this patient is the functional assessment.\u00a0 This is an older lady who lives alone.\u00a0 It will be essential to figure out how well she is able to function on her own.\u00a0 One of the biggest risks for older patients is falling.\u00a0 Falling is associated with adverse outcomes that can lead to a patient not being able to live at home anymore along with increased mortality (Snehal et al., 2020).\u00a0 The functional assessment would give information regarding how well she can move around the house, is she is able to keep a clean environment, how meals are prepared, how she goes to the bathroom, and keeps good hygiene (Ball et al, 2019).\u00a0 All these issues are going to contribute to her overall health.\u00a0 It is important to gather this information to determine what assistance, if any, she will need.<\/p>\n
After introducing myself and establishing how the patient would like to be addressed, I would start by simply asking \u201cWhat brings you in today?\u201d\u00a0 This is a way to find out what her chief complaint is for coming in.\u00a0 My second question would be \u201cWhen did this start?\u201d\u00a0 This brings the patient back to the beginning and prompts them to tell the whole story regarding why they came in.\u00a0 My third question would be \u201cWhat medications do you take on a regular basis and what are they for?\u201d\u00a0 In my experience patients may or may not even know what they are taking, let alone why they are taking them.\u00a0 It can also lead to her discussing if she is compliant with her medications.\u00a0 To follow that, my fourth question would be \u201cWhat medical problems do you have?\u201d\u00a0 Before going through a formal review of systems, this can give a clue to what she considers to be important in her history.\u00a0 \u00a0My last question would be \u201cHow well do you feel you are able to take care of yourself at home?\u201d\u00a0 This is an open-ended question to gain some insight on the functional assessment.\u00a0 If the patient\u2019s initial chief complaint is not urgent it is okay to give the patient some time while understanding the time constraints of you as the provider (Ball et al., 2019).<\/p>\n
Establishing a relationship with patients and getting a thorough health history can be a daunting task for providers.\u00a0 It is key to tailor interviewing skills to meet patient specific needs.\u00a0 Modifying interview skills to the individual will eliminate communication barriers between the provider and patient (Bass et al., 2019).\u00a0 Creating a strong relationship with the patient will allow the nurse practitioner to obtain the most comprehensive health history and provide the best possible care to clients.<\/p>\n
References:<\/h2>\n
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 <\/em>(9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Garrison-Diehn, C., Rummel, C., Au, Y. H., & Scherer, K. (2022). Attitudes toward older adults and aging: A foundational geropsychology knowledge competency. Clinical Psychology: Science and Practice, 29<\/em>(1), 4\u201315. https:\/\/doi.org\/10.1037\/cps0000043<\/a><\/p>\n
Snehal, K., Rashmi, G., & Aarti, N. (2020). Risk factors for fear of falling in older adults in India. Journal of Public Health, 28<\/em>(2), 123-129. doi:https:\/\/doi.org\/10.1007\/s10389-019-01061-9<\/a><\/p>\n
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/h3>\n
A Sample Answer 2 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
I enjoyed reading your post about communication with an 85 year old patient. It is important to build a report with the patient so they feel comfortable speaking with you. When evaluating the patient to find out if they are mentally intact it is important to not lead them to answers. Even though the patient has a decline in her health she may be mentally still intact. Open ended questions are important because it allows the patient to express themselves. This may help you find out if they are understanding the question or are they trying to hide any deficits. \u00a0Using closed ended questions can also help you identify how their memory is. Providing questions with random words to remember will help you assess this piece of brain functionality when it comes to remembering things. It is important to know where the patient is at with memory and cognitively because this can raise some red flags when it comes to safety in their home. When I worked in home care as a care coordinator I had done many evaluations of elderly people in my community to see if they are safe to be at home or are they needing a different level of care. I was able to help family members realize safety concerns for the patient by being able to do these assessments.<\/p>\n
One question that ended up coming up a lot was will the patient remember they are cooking something or are they at risk of starting a fire. During one of my evaluations I ended up finding that the patient was not safe to cook in the home. I ended up having to unplug the stove and the other cooking devices with the help of the family members until they were able to get the patient placed with a higher level of care. It would also be important to do a fall assessment on this patient to see if there are risks for falls and if the patient did have a fall would their be away they could alert someone if they got injured. Walking around and doing a survey of the home was part of these assessments. I also observed the patient while they went about doing their normal routine without correcting them because I would want to see what they would do if I was not there. If it became too much of a risk than I would stop and make note of findings while making sure the patient is safe. When asking the patient questions, I will not dominate the conversation. I will actively listen by providing non-verbal cues to the patient that shows that I am listening to the patient when they are speaking while not leading the patient to answers during the evaluation of their safety in their home.<\/p>\n
NURS 6512 Discussion Building a Health History PEER POSTS1<\/figcaption><\/figure>\n References:<\/h2>\n
Ball, J., 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.<\/p>\n
Mayo Foundation for Medical Education and Research. (n.d.). Physical Medicine and Rehabilitation. Mayo Clinic. Retrieved June 4, 2022, from<\/p>\n
A Sample Answer 3 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Introduction<\/strong><\/h3>\n
My assignment is based on working with an 85-year-old white female living alone with no family in declining health. While working on this task, I assume the patient is my mother, and I interrogate him with empathy, knowing that she is an elderly person who is likely to be more isolated and lonelier than individuals living\u00a0with their loved ones. Here,\u00a0I need to create an interviewing strategy to employ in assessing this patient’s medical condition, taking into account his advanced age that his health is declining.<\/p>\n
Communication is a difficult endeavor that requires\u00a0empathy and courtesy,\u00a0especially when dealing with senior individuals. It’s critical to observe, listen, and gather information when pertinent information is offered when speaking with these kinds of patients. To preserve a constant pace with the patient, the medical practitioner not only should go slowly and be very patient (Ball et al., 2019). Furthermore, by observing, the healthcare professional can connect to and be brought into the environment of the elderly. It is critical to comprehend the participant’s reality and the circumstances that may impact their responses. It’s critical for health care professionals to establish a good connection with patients in\u00a0the interview session to create a favorable interaction.<\/p>\n
The nurse tells the patient to introduce themselves to create familiarity and as the patient settles in the interview. Showing sincerity is vital while getting to know the social circle’s nature and the living condition of the patient. The questions could be personal, but they are meant to know the situation of the healthcare provider.<\/p>\n
Target Health Question<\/strong><\/h2>\n
The impact of social determinants on patient health is an important issue to consider when assessing a patient’s health. \u00a0Food availability, social support,\u00a0social position, and low-income levels, are all closely linked to premature death and higher incidents of sickness, based on empirical evidence. Inquiring into social determinants of health and how they affect the patient’s health can be a touchy subject (Ryan, 2019). As a result, I’d organize my queries in a way that respects the older patient while also demonstrating\u00a0empathy and sincerity\u00a0for their plight. Moreover, because such individuals may have difficulties communicating their conditions and ideas, I would be using effective listening skills.<\/p>\n
Risk Assessment<\/strong><\/h2>\n
The arranging of the patient’s health record through the Subjective Objective Assessment (SOAP)\u00a0and\u00a0Plan Problem Oriented Medical Record (POMR)\u00a0would be appropriate tools for the assessment of this patient. The POMR tool is an effective instrument as it provides for a thorough\u00a0recording and assessment\u00a0of medical information about a patient (Pdhi.com, 2022). Furthermore, it enables the collection of data from all\u00a0care team members\u00a0in order to ascertain the diagnosis and develop an empirical medication regimen. POMRs often include the patient’s condition, complaints, test findings, and a care plan that enables the medical practitioner to address each issue individually, write patient records, and a review of discharge with instructions for follow-up (Feldman et al., 2021).<\/p>\n
Health-Related Risk<\/strong><\/h2>\n
Since the patient is elderly and has a declining health status, there are certain risks that are mainly linked to social health determinants. Old age put the patient at risk of falling (Abdi et al., 2019). As such, the health care provider should investigate if she has already incurred any injuries from falling.<\/p>\n
Five Target Questions<\/strong><\/h2>\n
On the first encounter, it is vital to first build a connection and therapeutic relationship with the patient to make them comfortable to open up. This way, there would be mutual understanding, which is essential in knowing the needs of the patients. Some of the questions, I would ask include;<\/p>\n
- \n
- Do you experience any pains?<\/li>\n
- What do you think could be the reasons for your symptoms?<\/li>\n
- Are you under any medication?<\/li>\n
- What do you think of your quality of life?<\/li>\n
- Have any medications triggered any allergies in you?<\/li>\n<\/ol>\n
References<\/strong><\/h2>\n
Abdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF).\u00a0BMC Geriatrics<\/em>,\u00a019<\/em>(1). https:\/\/doi.org\/10.1186\/s12877-019-1189-9<\/a><\/p>\n
<\/p>\n
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<\/p>\n
Feldman, R., Chiu, M., Lawson, A., & Sadavoy, J. (2021). Evaluating Caregiver Risk: The Dementia Caregiver Interview Guide.\u00a0Psych<\/em>,\u00a03<\/em>(4), 552-561. https:\/\/doi.org\/10.3390\/psych3040036<\/a><\/p>\n
Pdhi.com. (2022).\u00a0What is a Health Risk Assessment? | ConXus Platform<\/em>. Pdhi.com. Retrieved 2 June 2022, from https:\/\/www.pdhi.com\/ncqa\/what-is-a-health-risk-assessment\/.<\/a><\/p>\n
Ryan, L. (2019). Clinical Applications of a Smart Physical Examination System for the Health Management in Elderly.\u00a0Case Medical Research<\/em>. https:\/\/doi.org\/10.31525\/ct1-nct03858660<\/a><\/p>\n
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/a><\/span><\/p>\n
A Sample Answer 4 For the Assignment: NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 Discussion Building a Health History PEER POSTS1<\/strong><\/h2>\n
Your case was quite an interesting one to research. Omenka, Watson, and Hendrie (2020) conducted a scoping review of African immigrants’ health disparities. Scoping studies are a type of research to identify available evidence or gaps on a subject of interest (Munn et al., n.d.). With that said, Omenka, Watson, and Hendrie (2020) found little research has been specifically conducted on African immigrants; instead, the researchers found African immigrants were being grouped in research studies conducted on African Americans. On that note, I find it important to differentiate the health and spiritual beliefs of both cultures so that, as clinicians, we can provide culturally competent care.<\/p>\n
I agree with your statement on creating a safe zone for the patient before conducting sexual history assessment; this will build trust and the patient will be willing to openly share personal health history. According to Omenka, Watson, and Hendrie (2020), African immigrants view HIV as a spiritual problem and are more likely to seek medical attention when a disease is in its advanced stages. Hence, the importance of early intervention is important.<\/p>\n
Additional interview questions that may be of value in this situation may be to ask, \u201ccan you tell me how you view illness?\u201d and Ball et al. (2019) suggests asking, \u201cwhat do I need to know as your clinician to provide care for you?\u201d Likewise, Ball et al. (2019) suggest not pressing an issue when communicating with patients. Great post.<\/p>\n
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<\/em> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (n.d.). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18<\/em>. https:\/\/doi-org.ezp.waldenulibrary.org\/10.1186\/s12874-018-0611-x<\/a><\/p>\n