NURS 6512 week 1 Discussion: 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.
Healthcare provider performs health assessment to evaluate a patient health risk and create a tailored care plan. Health assessment allows the healthcare provider to interact with an established rapport with the patient (Wu & Orlando, 2015). The health assessment contains family health history, demographic health history biometrics, and risk assessment (Wu, & Orlando, 2015). Effective communication during health risk assessment can help establish a good relationship between the healthcare provider and the patient. Good rapport between the healthcare provider and the patient allows the patient to open up more to the healthcare provider and provide the healthcare provider all the necessary information the healthcare provider needs for proper diagnosis and care. The effective rapport between the patient and the healthcare provider can also increase patient involvement in patient care and also improve patient compliance, which will lead to a better patient outcome (WU, & Orlando, 2015).
Adolescent age is when children begin to explore life, which makes them more susceptible to risky behavior (Ball et al. 2019). Adolescence age is when children start to do things in private and become more secrecy; hence they might not be willing to say certain things to their healthcare provider. To encourage them to speak out, the healthcare provider should speak in private with the adolescence and give him/her the assurance that the information is for the betterment of the adolescent. In the case of the 14-year old biracial male who lives in her grandmother in a high-density public housing complex, the healthcare provider should request to speak in private with the child. The screening tools in box 1.13 and page 18 in the (Ball et al. 2019) text are an excellent guideline the healthcare provider can use in carrying out a patient risk assessment
The home environment of the patient
Patient eating habits
Safety from violence and injury
To gain all necessary information from the patient, the healthcare provider should use open-end questions when carrying pout patient risk assessment. Some of the questions the healthcare provider should present before the patient include
Tell me about yourself and your living condition and how things are with you at your residence (Ball et al. 2019).
Tell me the activities you prefer and those involved in activities such as video games, sports, movies, music.
Tell me about your school and the things that go on in school.
Tell me about your friendship with your peers and other people and what you do with them.
Adolescence is a time in life that people are exposed to risky behaviors and they need help to make the right decisions (Ball et al., 2019)
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.
Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and
benefits. Postgraduate Medical Journal, (1079), 508-513. Retrieved from https://search=ebscohost-com.ezp.waldenu
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.
As you have mentioned, dealing with adolescents can be a bit tricky, especially when there are preset assumptions on the part of the adult (in this case the nurse practitioner) and the adolescent being interviewed. When the adolescent feels that questions are being asked with assumptions, it can make it difficult to get them to trust the interviewer. This is why “it is extremely important not to make any assumptions and ask non-judgmental questions in order to build rapport and trust with the adolescent” (University of British Columbia, 2011).
Part of the interview or assessment strategy with an adolescent should also be interviewing the parents, as this is important in researching social determinants. The Center for Disease Control and Prevention (CDC) defines social determinants of health as the “conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes” (Center for Disease Control and Prevention, 2018). In order to determine the social determinants that affect the adolescent, an interview with the parents might be necessary in order to gather information.
Center for Disease Control and Prevention. (2018). Social determinants of health: know what affects health. Retrieved from https://www.cdc.gov/socialdeterminants/
University of British Columbia. (2011). Approach to adolescent interview. General Pediatrics. Retrieved from https://learn.pediatrics.ubc.ca/body-systems/general-pediatrics/approach-to-a-routine-adolescent-interview/
I agree that effective communication is a fundamental element of the healthcare assessment. It is vital to gain all necessary information including the family health history, demographic health history and risk assessment. It is true that effective communication during this questioning process may establish a positive rapport with the patient and lead to a trusting relationship and improve overall healthcare maintenance. (Wu & Orlando, 2015) In regard to interviews with adolescent patients, it is important to facilitate open communication and prioritize privacy for the patient by asking to speak to them separately from their caregiver. (Benstead, Lewis, Knight, Toumbourou, 2016) It is important to recognize that as an adolescent the child may be more susceptible to risky behavior, which you have addressed in your post. This can cause the child to not want to relay important information to the healthcare provider, which is why it is important to establish a trusting relationship.
Benstead, M. L., Lewis, A. J., Knight, T., & Toumbourou, J. (2016). Adolescent Medicine and
Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with
family health history: Barriers and benefits. Postgraduate Medical , (1079), 508-513. Retrieved from https://search=ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edsgea&AN=edsgc
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