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 Discussion: Building a Health History. 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.
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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? Discussion: Building a Health History
- 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 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.
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.
I enjoyed reading your post this week. I’ve never heard of the WellSuite Health Risk Assessment Tool (WHRAT). Like you mentioned this health risk assessment is evidence-based, which is based on the current best evidence provided by medical research (WellSuite IV HRA, 2020). This assessment tool could be challenging for some elderly patients because of the lack of value to them, which would provide inaccurate information. However, with never using this assessment tool, I have very little understanding of its accurateness. Another health risk assessment tool for this patient would be the geriatric screening tool. This tool focuses on the ability of the patient to take care of their everyday needs. This assessment is an evaluation of the patient’s functional ability, physical abilities, cognition, psychological state, social status, nutritional status, and current medications (Deckx et al., 2015). Using these health risk assessments allows us as advanced practice nurses to see areas the patient needs help in or where further questions need to be addressed. Using this risk assessment allows us to promote a better quality of life and further management of their disease processes (Wu & Orlando, 2015). Discussion: Building a Health History.
Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G van Abbema, D. L., & Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: results of a cohort study. BMC Family Practice, 16(1), 1–12. https://doi-org.ezp.waldenulibrary.org/10.1186/s12875- 015-0241-x
WellSuite® IV HRA for the Workforce. (2020). Improve the health of your employee or patient population. Retrieved from https://www.wellsource.com
Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, 91(1079), 508. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1136/postgradmedj-2014-133195 Discussion: Building a Health History