NURS 6512 week 1 Discussion: Building a Health History
By Day 3 of Week 1
In the first post of Week 1, summarize the interview and describe the communication techniques to be employed with the assigned patient. Provide a rationale for the choice of these techniques and specify the risk assessment instrument chosen, along with justification for its relevance to the selected patient. Additionally, list at least five specific questions to ask the patient.
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Healthcare Provider’s Role in Health Assessment
The healthcare provider’s role involves conducting health assessments to evaluate a patient’s health risks and formulate personalized care plans. A comprehensive health assessment includes establishing a rapport with the patient, encompassing aspects such as family health history, demographic health information, biometrics, and risk assessment (Wu & Orlando, 2015). Effective communication during the health risk assessment phase is crucial in building a strong relationship between the healthcare provider and the patient. This rapport facilitates the patient’s willingness to share necessary information for accurate diagnosis and care planning. Improved patient involvement and compliance can also result from a positive rapport, ultimately leading to better patient outcomes (Wu & Orlando, 2015).
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Adolescence and Risky Behaviors
Adolescence is a critical period when individuals begin to explore life, often making them more susceptible to engaging in risky behaviors (Ball et al., 2019). Adolescents may become secretive and hesitant to divulge certain information to their healthcare providers. To encourage open communication, especially with a 14-year-old biracial male residing with his grandmother in a densely populated public housing complex, it is essential to request a private conversation. This privacy assures the adolescent that the information shared is for their benefit (Ball et al., 2019). In this context, screening tools like those mentioned on page 18 in Ball et al. (2019) can serve as valuable guidelines for conducting a patient risk assessment.
HEADSS Approach
The HEADSS acronym outlines essential areas to explore during an adolescent interview:
1. Home environment of the patient
2. Education
3. Eating habits
4. Drug use
5. Sexual behaviors
6. Activities
7. Suicide and depression
8. Safety from violence and injury
To gather comprehensive information from the patient, open-ended questions are recommended during the risk assessment:
1. Can you describe your living situation and how you feel about your current residence?
2. What activities do you enjoy? Are there specific interests like video games, sports, movies, or music that you are involved in?
3. Could you tell me about your school experiences and any notable occurrences at school?
4. How would you describe your relationships with peers and other individuals, and what activities do you engage in with them? NURS 6512 week 1 Discussion: Building a Health History
Adolescence is a critical developmental stage marked by increased exposure to risky behaviors, necessitating guidance and support (Ball et al., 2019).
References
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.
By Day 6 of Week 1
In the second post for Week 1, respond to at least two colleagues on separate days who selected patients different from your own. Consider sharing additional interview and communication techniques suitable for their selected patients or suggesting additional health-related risks to be considered. You can also validate their ideas with your own experiences and additional research.
Response 1:
I appreciate your insight into dealing with adolescents during the interview process. Indeed, establishing trust and maintaining a non-judgmental approach is paramount when communicating with adolescents. Your point about considering interviews with parents to explore social determinants of health is essential. These determinants significantly influence an adolescent’s well-being, and obtaining insights from parents can provide a more comprehensive picture of the patient’s health context (Center for Disease Control and Prevention, 2018).
Response 2:
Your emphasis on the importance of open communication with adolescents is well-founded. Adolescents can be hesitant to share sensitive information, and creating a safe and confidential space for them to do so is critical. Your suggestion to interview parents to delve into social determinants of health is valuable, as these factors play a substantial role in an adolescent’s overall health and well-being (Benstead, Lewis, Knight, & Toumbourou, 2016).
References:
Center for Disease Control and Prevention. (2018). Social determinants of health: know what affects health. Retrieved from https://www.cdc.gov/socialdeterminants/
Benstead, M. L., Lewis, A. J., Knight, T., & Toumbourou, J. (2016). Adolescent Medicine and Child Psychology.
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.
By Day 6 of Week 1
Response 1:
Dealing with adolescents can be challenging, particularly when there are preconceived notions on the part of the adult, in this case, the nurse practitioner, and the adolescent being interviewed. When adolescents perceive questions as judgmental or assuming, it becomes challenging to establish trust. Hence, it is imperative not to make any assumptions and instead, ask non-judgmental questions to build rapport and trust with the adolescent (University of British Columbia, 2011).
Furthermore, when working with adolescents, it’s essential to consider interviewing their parents. This step is crucial for researching social determinants of health. The Centers 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). Conducting interviews with parents can provide valuable insights into the social determinants affecting the adolescent’s health.
References
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/
Response 2:
I concur with the importance of effective communication in healthcare assessments. It is crucial to gather comprehensive information, including family health history, demographic details, and risk assessment. Effective communication during this questioning process can establish a positive rapport with the patient, fostering trust and enhancing overall healthcare maintenance (Wu & Orlando, 2015).
When conducting interviews with adolescent patients, it is vital to facilitate open communication and prioritize patient privacy by requesting separate discussions from their caregivers (Benstead, Lewis, Knight, Toumbourou, 2016). Recognizing that adolescents may be more susceptible to risky behavior, establishing a trusting relationship becomes even more critical. This trust encourages adolescents to share important information with their healthcare provider.
References
Benstead, M. L., Lewis, A. J., Knight, T., & Toumbourou, J. (2016). Adolescent Medicine and Child Psychology.
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 NURS 6512 week 1 Discussion: Building a Health History.
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