SCENARIO #2-Assigned patient: 80-year-old white male with angina lives on a farm 80 miles away from a healthcare center.
SCENARIO #2-Assigned patient: 80-year-old white male with angina lives on a farm 80 miles away from a healthcare center.
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Your Topic: BUILDING A HEALTH HISTORY
Assignment Details: SCENARIO#1 (A 19-year-old athletic black male reports muscle pain.)
Before designing a plan of care, it is important to retrieve a complete health history and health assessment. One technique that I would use to retrieve a pertinent health history is adaptive questioning. Adaptive questioning would allow me to develop rapport with my patient and gather information by asking general to more specific questions (Ball et al., 2022). The gradual shift in questioning allows the patient to reach a comfort level where he feels safe to communicate personal information without interruption of flow (Walden University, n.d.). Another component of this interview technique is echoing, which allows the provider to reflect and clarify the information by restating and turning the presented information into questions to elicit more information (Jones & Bartlett, n.d.).
In addition, other communication techniques that can be useful for communicating to this patient are active listening and empathizing. Active listening is a non-verbal communication technique that demonstrates interest in what the patient is saying without judgment or bias (Slade & Sergent, 2022). Examples include removing distractions, making eye contact, nodding head, and echoing back to the patient key points of what you are hearing and/or taking notes. Moreover, empathizing is a technique that displays an emotional form of communicating through understanding and making the patient feel relatable like he/she isn’t the only person who is going through a situation (Slade & Sergent, 2022). I would use these techniques because it affirms to the patient that I recognize the present issue and validates their feelings about the issue.
One risk assessment tool I would use to assess the patient’s pain is the Adolescent Pediatric Pain Tool (APPT). This multidimensional pain evaluation tool assesses the location of the pain by pinpointing that location on a body diagram or by using a graphic word scale (Özalp Gerçeker et al., 2018). In addition, studies have shown that this tool can be used across cultures in children who possess language, verbal, and/or cognitive impairments (Özalp Gerçeker et al., 2018). Moreover, this unique tool measures not only location but intensity, quality, and patterns of how pain changes over time (Özalp Gerçeker et al., 2018). This tool is helpful in this case because it allows the patient to give a thorough account of his pain and address any psychological or emotional issues associated with being in pain. Often times it is overlooked that pain can affect other processes and aspects of the body.
Some targeted questions that I would ask this patient while conducting this assessment are: 1. Describe what you were doing when this injury occurred. 2. Have you ever experienced pain like this, and if you did, how did you cope with it? 3. How do you feel this injury has affected your day to day and participation in sports, and how have you handled these changes? 4. Knowing that pain is different for each individual, what is your pain goal, and how can we work together to achieve this? 5. Have you noticed or have anyone disclosed any changes in your behavior, attitude, mental and/or emotional state?
*****using one or more of the following approaches:
__Share additional interview and communication techniques that could be effective with the above secanrio.
__Suggest additional health-related risks that might be considered.
__Validate an idea with your own experience and additional research
(2 REFERENCES FOR THE ABOVE SCENARIO)
SCENARIO #2-Assigned patient: 80-year-old white male with angina lives on a farm 80 miles away from a healthcare center.
When addressing and assessing health, numerous variables and influences must be considered. Factors such as age, gender, and socioeconomic status ought to influence and shape all interactions and therapies. Comprehensive and accurate health assessments cannot be made without thorough communication and risk evaluations. There are several factors, such as the patient’s hearing, cognitive capacity, and physical competence, that might complicate communication and assessment with an elderly patient. It’s crucial to be direct, precise, on-target, and kind while talking to this patient. Communicating with the patient using a patient-centered strategy that includes asking open-ended questions is likely to be the most successful method. The 80-year-old patient’s social determinants of health might include inquiries about his resources for meeting basic requirements, his social network, and his capacity to use Telehealth services. Given that he lives more than 80 miles away from the nearest healthcare facility, I would also inquire as to his accessibility.
Risk assessments are used in the healthcare system and are vital in targeting and identifying health concerns for treatment. The HITS screening test is one of the appropriate and effective risk assessment methods that should be employed for this particular patient. According to Ball et al. (2019), the HIT screening is a questionnaire that focuses on abuse. It is essential to understand the patient’s history of abuse and what the patient has been through to appropriately treat the patient on both a physical and emotional level.
INTERVIEW Questions
Can you tell me your name and date of birth? How do you like for me to address you?
I am going to ask you several assessment questions. Do you need any assistive devices to understand and answer the questions?
How are you feeling today?
What’s prompted you to seek for medical assistance today?
Can you tell me about your current, past medical history and family health history?
*****using one or more of the following approaches:
__Share additional interview and communication techniques that could be effective with the above secanrio.
__Suggest additional health-related risks that might be considered.
__Validate an idea with your own experience and additional research
(2 REFERENCES FOR THE ABOVE SCENARIO)
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