Nursing Question

BUILDING A HEALTH HISTORY: COMMUNICATING EFFECTIVELY TO GATHER APPROPRIATE HEALTH-RELATED INFORMATION

Week 1: Learning 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.). Elsevier Mosby. 

• Chapter 2, “The History and Interviewing Process”  
  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. 

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

Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29).

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WEEK 2 LEARNING RESOURCES:

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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.). Elsevier Mosby. 

• Chapter 1, “Cultural Competency”
  This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. 

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).?Advanced health assessment and clinical diagnosis in primary care?(6th ed.). Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 

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.CASE SCENARIO:

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• .Include the following: 
• Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. 

Explain the issues that you would need to be sensitive to when interacting with the patient, and why.  

• Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. 
• Summarize the health history interview you would conduct with this patient. Provide at least five (5)targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. 
• Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific. 
• Assignment: Building a Health History With Cultural and Diversity Awareness  Include the following: 
• Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific. 

Explain the issues that you would need to be sensitive to when interacting with the patient, and why.  

• Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques. 

Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient. 

Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.

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