NRNP 6552 Building a Health History Discussion Post Example

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NRNP 6552 Building a Health History Discussion Post Example

NRNP 6552 Building a Health History Discussion Post AssignmentNRNP 6552 Building a Health History Discussion Post Assignment

NRNP 6552 Building a Health History Discussion Post Assignment Brief

Course: NRNP 6552 – Advanced Nurse Practice in Reproductive Health Care

Assignment Title: NRNP 6552 Building a Health History Discussion Post Assignment

Assignment Instructions Overview

This assignment requires students to engage in the process of building a health history for an assigned patient. The goal is to practice effective communication techniques tailored to the unique characteristics of each patient, including factors such as age, gender, ethnicity, and environmental setting. By considering these factors, students will be able to gather comprehensive and accurate health histories, essential for assessing health risks and planning care.

Understanding Assignment Objectives

The primary objective of this assignment is to enhance students’ abilities in patient communication and history taking. Effective communication is vital in constructing a detailed patient history, which significantly influences health outcomes. Students must understand how various factors such as social determinants of health, cultural background, and environmental settings impact a patient’s health. The assignment aims to prepare students to adapt their communication strategies to each patient’s unique context, thus improving the quality of the health history obtained.

The Student’s Role

Students will assume the role of a clinician responsible for building a health history for a specific patient profile assigned by the instructor. This involves:

  • Tailoring communication and interview techniques to the assigned patient.
  • Developing targeted questions based on the patient’s social determinants of health.
  • Identifying and applying appropriate risk assessment instruments.
  • Recognizing potential health-related risks specific to the patient’s demographic and environmental context.
  • Posting a summary of the interview, describing the communication techniques used, justifying the chosen risk assessment instrument, and listing at least five targeted questions.

Competencies Measured

This assignment measures several key competencies essential for advanced practice nurses, including:

  • Communication Skills: The ability to effectively communicate with patients of diverse backgrounds and tailor communication techniques accordingly.
  • Cultural Competence: Understanding and respecting the cultural, social, and environmental factors that influence a patient’s health.
  • Clinical Assessment: Utilizing appropriate risk assessment tools and techniques to gather accurate health histories.
  • Critical Thinking: Analyzing and integrating information from patient interviews to identify health risks and plan appropriate interventions.
  • Empathy and Rapport-Building: Establishing trust and rapport with patients to facilitate open and honest communication.

You Can Also Check Other Related Assessments for the NRNP 6552 – Advanced Nurse Practice in Reproductive Health Care Course:

NRNP 6552 Different Roles of the Nurse Practitioner Discussion Assignment Example

NRNP 6552 Taking or Building a Health History: Asking Difficult Questions Assignment Example

NRNP 6552 Building a Health History Discussion Post Example

Discussion: Building a Health History

Patient Profile: 26-year-old Lebanese Female Living in Graduate-Student Housing

Effective communication with a 26-year-old Lebanese female living in graduate-student housing necessitates sensitivity to cultural and contextual factors. Several communication techniques will be employed to ensure the accurate and empathetic gathering of her health history. Firstly, cultural sensitivity is paramount. Understanding the patient’s Lebanese background involves being aware of cultural norms, values, and potential language barriers. This approach fosters a more comfortable and trusting environment for the patient, enhancing the quality of the interaction and the accuracy of the information gathered (Ball et al., 2019).

Building rapport is another critical technique. Initiating the conversation with friendly, open-ended questions about her studies and experience in graduate housing can help establish trust and ease any anxiety she might have about the medical consultation. Active listening is also essential. Demonstrating genuine interest in her responses, maintaining eye contact, and using affirmative nods or verbal acknowledgments will show that her concerns are taken seriously. This technique ensures that the patient feels heard and respected, which is crucial for effective communication (Ball et al., 2019).

Clarifying questions play a significant role in this process. Asking follow-up questions to ensure that her responses are clearly understood is essential for accurately assessing her health history. This technique helps avoid misunderstandings and ensures that the information collected is precise and comprehensive (Martyn, Munro, & Fava, 2013). Additionally, nonverbal communication must be considered. Being mindful of nonverbal cues such as body language and facial expressions ensures that the patient feels respected and understood. This technique enhances the overall communication experience and builds a stronger patient-provider relationship (Martyn et al., 2013).

The selected risk assessment tool for this patient is the Health Risk Assessment (HRA). The HRA is suitable because it considers various factors such as lifestyle, environmental setting, and personal health behaviors, which are particularly relevant for a young adult in a university setting (Abass, Carlsen, & Rautio, 2016). This tool is appropriate for assessing a 26-year-old Lebanese female due to its comprehensive nature, which helps identify risks associated with lifestyle, diet, mental health, and preventive health measures. Graduate students often experience high stress and unique health challenges, making this tool particularly useful.

Based on the patient’s age, gender, ethnicity, and environmental setting, potential health-related risks include mental health issues, nutritional deficiencies, physical inactivity, and social challenges. The high stress and anxiety related to academic pressures can significantly impact her mental health. Irregular eating habits common among students might lead to nutritional deficiencies. A busy academic schedule may contribute to physical inactivity. Living in student housing away from family and familiar cultural support could lead to feelings of isolation or social challenges.

To gather a comprehensive health history, the following targeted questions will be asked: “How has your experience in graduate school been affecting your stress levels and overall well-being?” This question aims to assess her mental health and stress levels. “Can you describe your typical daily diet and any challenges you face in maintaining a healthy eating routine?” This question focuses on her dietary habits and potential nutritional deficiencies. “What type of physical activities do you engage in, and how often do you exercise each week?” This question aims to evaluate her level of physical activity. “Have you experienced any feelings of anxiety or depression since starting your graduate studies?” This question assesses her mental health more specifically. “How do you find living in graduate-student housing? Are there any aspects of your living environment that you feel negatively impact your health?” This question aims to understand the social and environmental factors affecting her health.

References

Abass, K., Carlsen, A., & Rautio, A. (2016). New approaches in human health risk assessment. International Journal of Circumpolar Health, 75(1). doi:10.3402/ijch.v75.33845

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s Guide to Physical Examination (9th ed.). Elsevier.

Martyn, K. K., Munro, M. L., & Fava, N. M. (2013). Patient-centered communication and health assessment. Nursing Research, 62(6), 383-393. doi:10.1097/nnr.0000000000000005

Response 1: 14-year-old Biracial Male Living with His Grandmother in a High-Density Public Housing Complex

You did a great job discussing communication techniques and targeted questions to ask your patient. I would also add that it is essential to build rapport with this adolescent to facilitate trust and openness. Establishing a connection is crucial, especially with teenagers who may be reluctant to share personal information. According to Ball et al. (2019), using open-ended questions and demonstrating genuine interest in the patient’s experiences are effective strategies for building rapport. Ensuring that the patient understands that all information provided will be confidential is critical for fostering an open and honest dialogue.

In addition to the techniques you mentioned, motivational interviewing could be particularly beneficial in this scenario. Motivational interviewing involves encouraging the patient to talk about their feelings and experiences, helping them to identify their own motivations for change (Miller & Rollnick, 2013). This technique can empower the patient and help them feel more in control of their health outcomes.

Regarding potential health-related risks, it is important to consider the environmental factors associated with living in a high-density public housing complex. The patient might be exposed to higher levels of stress, violence, or environmental hazards, all of which can impact his physical and mental health. Addressing these concerns through targeted questions and providing appropriate resources and support can significantly benefit the patient’s overall well-being.

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.). Elsevier.

Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.

Response 2: 38-year-old Native American Pregnant Female Living on a Reservation

Great post! Your discussion highlights the importance of cultural competence when interviewing a Native American pregnant female living on a reservation. This population often faces unique challenges, including health disparities and limited access to healthcare services (Berman & Chutka, 2016). It is essential to approach the interview with humility, respect, and an understanding of cultural preferences.

An additional interview and communication technique that could be effective in this context is the use of narrative medicine. Narrative medicine involves listening to the patient’s story and understanding their experiences and perspectives (Charon, 2006). This approach can help build a deeper connection with the patient and provide a more holistic understanding of their health needs.

Furthermore, it might be beneficial to involve family members or community health workers in the interview process. This can provide additional support for the patient and help bridge any cultural or communication gaps. According to the National Congress of American Indians (n.d.), engaging with the community and respecting cultural practices are vital for effective communication and healthcare delivery.

Another health-related risk to consider is the potential for gestational diabetes, which has a higher prevalence among Native American populations (Sullivan, 2019). Screening for gestational diabetes and providing appropriate education and resources is crucial for managing this risk.

References

Berman, A. C., & Chutka, D. S. (2016). Assessing effective physician-patient communication skills: “Are you listening to me, doc?” Journal of General Internal Medicine, 31(4), 408-413. doi:10.1007/s11606-015-3522-x

Charon, R. (2006). Narrative medicine: Honoring the stories of illness. Oxford University Press.

National Congress of American Indians. (n.d.). Effective Tools for Communications and Leadership in Indian Country. Retrieved June 05, 2020, from http://www.ncai.org/news/tribal-communicators-resources/NCAI_ConferenceBooklet_FINAL_SinglePage.pdf

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). F. A. Davis.

Detailed Assessment Instructions for the NRNP 6552 Building a Health History Discussion Post Assignment

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.

Photo Credit: Sam Edwards / Caiaimage / Getty Images

To prepare:

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?
  • 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 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.

Assignments:

Here is your assigned patient for Week 1. You will only have one to address in the discussion board.

  1. 26-year-old Lebanese female living in graduate-student housing
  2. 14-year-old biracial male living with his grandmother in a high-density public housing complex
  3. 38-year-old Native American pregnant female living on a reservation

IF YOUR LAST NAME BEGINS WITH:

A – I work through assignment #1

J-R work through assignment #2

S-Z work through assignment #3

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.

RESOURCES

  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.
    • Chapter 2, “The History and Interviewing Proce
      This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
    • Chapter 5, “Recording Information”
      This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
    • Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Adly, N. N., Abd-El-Gawad, W. M., & Abou-Hashem, R. M. (2019). Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unit Links to an external site.. Aging Clinical and Experimental Research, 32(7), 1279–1287. https://doi.org/10.1007/s40520-019-01309-0

Chow, R. B., Lee, A., Kane, B. G., Jacoby, J. L., Barraco, R. D., Dusza, S. W., Meyers, M. C., & Greenberg, M. R. (2019). Effectiveness of the “Timed Up and Go” (TUG) and the Chair test as screening tools for geriatric fall risk assessment in the ED Links to an external site.. The American Journal of Emergency Medicine, 37(3), 457–460. https://doi.org/10.1016/j.ajem.2018.06.015

SHADOW HEALTH SUPPORT AND ORIENTATION RESOURCES

Use the following resources to guide you through your Shadow Health orientation as well as other support resources:

Discussion_Rubric

Criteria

Main Posting

Ans

“Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

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