Week 1 Discussion Discussion Week 1: 16-year-old pregnant female COLLAPSE The advanced practice nurse must use effective communication to retrieve important information pertaining to a patient’s health history. There are several concepts, theories, and principals that can be utilized in differing situations to create an atmosphere of safety where the patient is comfortable to share information leading to a positive patient relationship. This type of interaction has been shown to increase patient compliance to the prescribed treatment and have favorable outcomes. Included in effective communication is the skill of listening and the use of non-verbal ques; both are of utmost importance when interacting with a subject (Ball, Dains, Flynn, Solomon & Stewart, 2015). As a clinician building a health history for the 16-year-old white pregnant teenager living in an inner-city neighborhood, the understanding of the potential risks that currently affect both patients (mother and baby) in this high-risk pregnancy must be addressed without bias. Establishing a positive patient relationship by treating this young adult respectfully, while making a personal connection where she feels safe to share about her situation, concerns and fears and openly discuss her health history will create a trusting foundational rapport (Ball et al, 2015). Identified health-related risks based on this patient’s circumstances include her age that puts her at a high-risk pregnancy for her and the baby, and socially, the risk of isolation, and school drop-out (CDC, 2017). Teen-age patients have a higher risk of preeclampsia at twice the rate as seen in maternal adults (Parra-Pingel, Quisiguina- Avellan, Hidaldo, Chedraui & Perez-Lopez, 2017). Another factor notable is that low socioeconomic conditions been implicated as a precursor to high rates of teen-pregnancy (CDC, 2017). Therefore, financial concerns may be valid in teen-pregnancy. As a practitioner interviewing this patient for a health assessment, I would sit down near the patient at eye level in a relaxed manner. I would ask for calls and interruptions to be held during this initial interview. I would use age appropriate terminology to relate to the adolescent and I would give a short introduction of myself and my role in this patient’s care. Respectfully I would ask the patient to share her situation using open ended questions. I would allow the patient the time to speak without interrupting to glean areas of needed intervention, areas that need further questioning, areas needing education and outside referral assistance. Once the patient has given her account of the situation, I would utilize organized questioning to derive further important facts that include a social history, a safety history, any support systems in place, plans for the pregnancy, and if the paternal father is involved.
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- Summer '15