Discussion Week 1

**THIS DISCUSSION IS DIVIDE IN TWO PARTS

–

 

 

1.

 

MAIN DISCUSSION POST BY

WEDNESDAY

 

 

9

/1/2021

 

BEFORE 8:00 PM EST

 

 

2.

 

 

TWO REPLIES BY FRIDAY

09/03

/2021 BEFORE 8:00 PM EST

 

 

Discussion: Building a Health History

 

·

 

Effective communication is vital to constructing an accurate and detailed patient history. A

patient’s health or illness is influ

enced 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 wi

th 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 patie

nt assigned by your Instructor.

 

 

 

To prepare:

 

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

 

Ball, J. W., Dains, J. E., Flyn

n, J. A., Solomon, B. S., & Stewart, R. W. (2019).

 

Seidel’s guide to physical

examination: An interprofessional approac

h

 

(9th ed.). St. Louis, MO: Elsevier Mosby

.

 

 

·

 

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 h

is or her health risks?

 

·

 

Identify any potential health

–

related risk

 

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 C

hapter 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.

 

 

DISCU

SSION

–

 

INSTRUCTIONS

 

 

Patien

t Assigned

:

 

 

·

 

55

–

year

–

old

 

Asian

 

female

 

living

 

in

 

a

 

high

–

density

 

public

 

housing

 

complex

 

 

1.

 

Post

a summary of the interview and a description of the communication techniques you would

use with your assigned patient.

 

2.

 

Explain why you would use these techniques.

 

3.

 

Identify the risk assessment instrum

ent you

selected and

 

justify why it would be applicable to

the selected patient.

 

4.

 

Provide

at least five targeted questions

 

you would ask the patient.

 

5.

 

Use at least 3 references.

 

6.

 

Review the

Grading Rubric

 

 

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

1. MAIN DISCUSSION POST BY WEDNESDAY 9/1/2021 BEFORE 8:00 PM EST

2. TWO REPLIES BY FRIDAY 09/03/2021 BEFORE 8:00 PM EST

 

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.

 

 

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

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.

 

 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 risk 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.

 

DISCUSSION – INSTRUCTIONS

 

Patient Assigned:

 

 55-year-old Asian female living in a high-density public housing complex

 

1. Post a summary of the interview and a description of the communication techniques you would

use with your assigned patient.

2. Explain why you would use these techniques.

3. Identify the risk assessment instrument you selected and justify why it would be applicable to

the selected patient.

4. Provide at least five targeted questions you would ask the patient.

5. Use at least 3 references.

6. Review the Grading Rubric